术中神经监测仪皮下针埋置处皮肤热损伤(附1例报告)  

Skin thermal injury at site of hypodermic electrodes placed for intraoperative neuromonitoring during thyroidectomy:one case report

作　　者：邢戌健 陈亮[2] 贺文 费健[3] XING Xujian;CHEN Liang;HE Wen;FEI Jian(Department of General Surgery,Shanghai International Medical Center,Shanghai 201315,China;Nanjing University of Posts and Telecommunications,Jiangsu Nanjing 210023,China;Department of General Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海国际医学中心普外科,上海201315 [2]南京邮电大学,江苏南京210023 [3]上海交通大学医学院附属瑞金医院普外科,上海200025

出　　处：《外科理论与实践》2024年第3期260-263,共4页Journal of Surgery Concepts & Practice

摘　　要：为减少术中喉返神经损伤,术中神经监测技术在甲状腺手术,尤其是甲状腺再次手术中的应用越来越多。然而神经监测仪的使用过程中也存在潜在的不良反应和安全隐患。本文报道上海国际医学中心1例甲状腺癌病人术中应用喉返神经监测,皮下针电极埋置处出现皮肤热损伤的不良反应。本文结合相关不良事件信息分析原因,通过认识潜在风险,加强防范意识,维护病人人身安全。In order to reduce intraoperative recurrent laryngeal nerve injury,intraoperative neural monitoring(IONM) is widely used in thyroid-related surgery,especially in reoperations.However,some incidental injuries have also been observed during IONM.This article reported a case suffered skin thermal injury at the site of hypodermic needle electrode placement during IONM in Shanghai International Medical Center.Combining relevant adverse event information and analyzing the causes was essential to understand and prevent potential risks,and prioritize patient safety.

关 键 词：术中神经监测 皮下针电极 热损伤 甲状腺手术 

分 类 号：R653[医药卫生—外科学] R4[医药卫生—临床医学]