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引用次数: 0

摘要

碘作为一种地方消毒剂已有100多年的历史。然而,由于局部刺激性很强,它的使用受到限制。在过去的25年里,聚乙烯吡啶酮碘溶液(聚维酮碘,pvp碘,Betadine)在治疗创伤,外科和骨科感染方面越来越受欢迎。然而,一些论文报道了使用pvp -碘后血液化学(T3, T4, TSH, PBJ和尿中碘排泄)的变化,特别是在内脏手术中。我们报告了一个大量碘吸收与甲状腺功能亢进的临床症状发生的病人,在冲洗部位软组织坏死。
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[Massive iodine absorption after joint irrigation-suction drainage with PVP-iodine (betadine)].

Iodine is known as a local disinfectant substance for more than 100 years. Its use however was restricted due to strong local irritation. In the last 25 years Polyvinylpyrrolidon-Iodine solutions (Povidone-Iodine, PVP-Iodine, Betadine) has become more and more popular for treating traumatologic, surgical and orthopaedic infections. However several papers have reported changes in the blood chemistry (T3, T4, TSH, PBJ and Iodine excretion in the urine) after utilizing PVP-Iodine, especially in visceral surgery. We report on a patient in whom a massive iodine resorption with clinical signs of hyperthyroidism occurred, with soft tissue necrosis at the site of irrigation.

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