| 一例促皮质素静脉外渗至局部皮肤坏死的案例解析与改进 |
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| 引用本文： | 卜丽君陈丽周昀箐王翠锦王英燕韩凤王纪文李浩.一例促皮质素静脉外渗至局部皮肤坏死的案例解析与改进[J].中国卫生质量管理,2022,0(9):049-51. |
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| 作者姓名： | 卜丽君陈丽周昀箐王翠锦王英燕韩凤王纪文李浩 |
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| 作者单位： | 上海交通大学医学院附属上海儿童医学中心 |
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| 摘 要： | 对1例癫痫性痉挛患儿采用促皮质素静脉给药时发生静脉外渗至局部皮肤坏死的案例进行解析。针对事件发生原因，制定并采取措施:静脉穿刺难度事前评估，优化临床监护，加强相关知识培训，以肌肉注射代替静脉滴注等，避免了此类事件的再次发生，提升了临床合理用药水平，确保了患者安全。
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| 关 键 词： | 癫痫性痉挛 促皮质素 静脉给药 护理质量 患者安全 |
Analysis and Improvement of One Case of Venous Extravasation of Adrenocorticotropic Hormone to Local Skin Necrosis |
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| BU Lijun,CHEN Li,ZHOU Yunqing.Analysis and Improvement of One Case of Venous Extravasation of Adrenocorticotropic Hormone to Local Skin Necrosis[J].Chinese Health Quality Management,2022,0(9):049-51. |
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| Authors: | BU Lijun CHEN Li ZHOU Yunqing |
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| Affiliation: | Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University |
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| Abstract: | A case of local skin necrosis caused by venous extravasation during intravenous administration of adrenocorticotropic hormone in a child with epileptic spasm was analyzed. In view of the causes of the incident, measures were formulated and implemented, including pre-assessment of the difficulty of venipuncture, optimization of clinical monitoring, strengthening relevant knowledge training, and replacing intravenous infusion with intramural injection, so as to avoid the recurrence of such incidents and improve the level of rational drug use in clinical practice and ensure patient safety. |
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| Keywords: | Epileptic Spasms Adrenocorticotropic Hormone Intravenous Administration Nursing Quality Patient Safety |
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