Severe subcutaneous hematoma and infection caused by extravasation of iopromide injection
10.3760/cma.j.cn114015-20191210-01000
- VernacularTitle:碘普罗胺注射液外渗致严重皮下血肿和感染
- Author:
Suwen MA
1
;
Zheng SUN
;
Yueying SHAO
;
Xiangying DU
;
Jie LU
Author Information
1. 首都医科大学宣武医院放射科，北京 100053；磁共振成像脑信息学北京市重点实验室，北京 100053
- Publication Type:Journal Article
- Keywords:
Contrast media;
Extravasation of diagnostic and therapeutic materials;
Hematoma;
Infection;
Nursing care
- From:
Adverse Drug Reactions Journal
2020;22(10):603-605
- CountryChina
- Language:Chinese
-
Abstract:
A 69-year-old female patient with diabetes mellitus was scheduled to undergo angiography of head because of acute cerebral infarction. When iopromide injection-370 was injected intravenously with a high-pressure syringe before operation, the contrast medium extravasated at the injection site of her right hand, resulting in severe subcutaneous hematoma, tissue necrosis, and infection. The maximum area of extravasation wound extended to 6.0 cm × 7.0 cm. Therapies such as local wet compress with cold 50% magnesium sulfate and dexamethasone, daily debridement and dressing change, and external application of hydrogel, silver containing hydrophilic foam, and hydrocolloid were given. On day 14 after extravasation, the necrotic tissue of the wound gradually fell off and the wound began to heal. Then the wound healed on day 35 after extravasation.
