[1]徐赤宇,潘宝华,李富强,等. 注射隆鼻术中引发血管栓塞和动眼神经损伤的临床治疗[J].中国美容医学,2018,(03):47-49.
 XU Chi-yu,PAN Bao-hua,LI Fu-qiang,et al. Clinical Treatment of Vascular Embolism and Oculomotor Nerve Injury During Rhinoplasty by Injection[J].Medical Aesthetics and Beauty,2018,(03):47-49.
点击复制

 注射隆鼻术中引发血管栓塞和动眼神经损伤的临床治疗()
分享到:

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年03期
页码:
47-49
栏目:
出版日期:
2018-04-10

文章信息/Info

Title:
 Clinical Treatment of Vascular Embolism and Oculomotor Nerve Injury During Rhinoplasty by Injection
文章编号:
1008-6455(2018)03-0047
作者:
 徐赤宇1潘宝华1李富强1李大铁2
Author(s):
 XU Chi-yu1PAN Bao-hua1LI Fu-qiang1LI Da-tie2
关键词:
 [关键词]透明质酸注射隆鼻术皮肤血运障碍眼科动眼神经
Keywords:
 Key words: haluronic acid injection rhinoplasty embolism ophthalmology oculomotor nerve
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的:探讨注射隆鼻术中引发的血管栓塞和动眼神经损伤的对症紧急处置及后续治疗。方法:对2例注射隆鼻术中出
现血管栓塞且其中1例合并有动眼神经受损的患者紧急进行玻璃酸酶注射、抗感染、扩血管、营养神经、改善局部组织微循
环和高压氧舱等多种促进局部皮肤血运、减压和营养神经等对症治疗及护理。结果:患者因血管栓塞引发的血运障碍恢复正
常,无明显瘢痕残留;其中1例合并有动眼神经受损患者已康复,处理后90d随诊,局部皮肤未见异常,眼科检查未见明显异
常。结论:注射隆鼻术中小血管栓塞引发的皮肤血运障碍和眼部视力感觉异常,采取积极对症紧急处置和后续眼科专项特殊
对症救治,可有效避免并发症的产生,获得良好愈后。

Abstract:
Abstract: Objective To discuss the emergency treatment and follow-up treatment of vascular embolism and oculomotor nerve
injury caused by injection for rhinoplasty. Methods There were multiple therapeutic methods to promote skin circulation,
reduce pressure of affected area and give nutrition to patients with embolism. The methods included injecting hyaluronidase,
using anti-infection, dilating blood vessels, nourishing nerve system, accelerating circulation system, and hyperbaric oxygen
therapy. Results Patients with vascular impairment caused by vascular embolization returned to normal and no residual scar
remained. One cases of patients with oculomotor nerve injury were recovered after 3 months, and there was no abnormal skin in
the local skin and no obvious abnormalities in the ophthalmology examination. Conclusion It is effective to take therapeutic
procedures to help patients with embolism as well as oculomotor nerve damage causing by injection for rhinoplasty.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
 [J].Medical Aesthetics and Beauty,2018,(03):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
 YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(03):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
 ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(03):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
 LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(03):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
 HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(03):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
 LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(03):15.
[7]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
 ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(03):21.
[8]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
 CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(03):24.
[9]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
 LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(03):27.
[10]姚卫君,张建文,刘林嶓. Body Tite黄金微针射频治疗腋臭的临床研究[J].中国美容医学,2018,(03):29.
 YAO Wei-jun,ZHANG Jian-wen,LIU Lin-bo.[J].Medical Aesthetics and Beauty,2018,(03):29.
[11]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
 CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(03):18.
[12]薛紫涵,芦 笛,李桂珍,等. 面部韧带根部填充透明质酸改善轻中度面部老化[J].中国美容医学,2019,(03):1.
 XUE Zi-han,LU Di,LI Gui-zhen,et al. The Hyaluronic Acid Injection at the Root of the Facial Ligaments for Mild toModerate Facial Aging Rejuvenation[J].Medical Aesthetics and Beauty,2019,(03):1.
[13]王 彤 成亚飞 陈 诚 余睿芳 综述,张宝林 审校. 透明质酸在烧伤整形美容外科中的应用进展[J].中国美容医学,2020,(2):170.
 WANG Tong,CHENG Ya-fei,CHEN Cheng,et al. Application Progress of Hyaluronic Acid in Burn Plastic Surgery[J].Medical Aesthetics and Beauty,2020,(03):170.

更新日期/Last Update: 2018-05-25