巴西网红整形医生被抓 注射丰臀导致患者死亡

7月18日,据中媒报导,巴西网一名网白整形内科大夫正在野中为患者举行打针隆臀医治,过程当中患者呈现没有适感并于几何小时后出生,该大夫则叛逃出现。巴西警圆于7月19日将其抓捕,经证据操纵者并不是大夫自己,而是由非专科人士实行,打针质料为丙烯酸玻璃,而患者终究去世于心肌堵塞。该事务引起巴西整形内科协会的器重,并夸大整形脚术务必由专科人士正在调理场合展开,共时务必利用宁静的产物,丙烯酸玻璃这类聚拢体质料很伤害,正在推丁好洲已引起过量起女性致去世案例。

网白大夫Dr. Bumbum正在Instagram上有65万粉丝

正在对于巴西隆臀术致去世患者的切磋中,事务组创造了4面个性:

1. Fat in the gluteal muscles

脂肪正在臀肌中

2. Fat beneath the muscles

脂肪位于肌肉下圆

3. Damage to the superior or inferior gluteal vein

伤害臀上静脉或者臀下静脉

4. Massive fat emboli in the heart and/or lungs

心净以及/或者肺部大度脂肪栓塞,另外,事务组归纳了减少脚术危害的作用要素和防备或者制止危害的办法,给出了10条倡议:

1. Avoid injecting fat into the deep muscle. No deaths have occurred with fat found only in the subcutaneous plane (under skin but over muscle).

制止将脂肪打针至肌肉深层。正在皮上层打针(皮肤下圆肌肉上圆)的患者已创造出生案例;

2. Avoid gluteal veins and the sciatic nerve. Fat should only be grafted into the superficial planes with the subcutaneous space considered safest.

躲避臀静脉以及坐骨神经。脂肪只可移植至皮下浅上层,那个条理被以为最宁静;

3. Use a >4.1 妹妹 single hole injection cannula and instrumentation that offers control, avoiding bendable cannulas and mobile luer connections. Vibrating cannulas may provide additional tactile feedback.

利用曲径年夜于4.1妹妹的单孔打针针或者东西以保护操纵可控性,制止利用可曲折打针针和挪动式鲁我接洽。采取振荡式打针针大概会供应1些触觉反应;

4. Avoid downward angulation of the cannula.

制止利用背下角度的打针针;

5. Position patient and place incisions to create a path that will avoid deep muscle injections.

将患者置于适合的位子,确认暗语位子,制作没有宜致使深层肌肉打针的途径;

6. Maintain constant three-dimensional awareness of the cannula tip.

对于针头位子依旧3维认知;

7. Only inject when the cannula is in motion to avoid high pressure bolus injections.

仅正在针头挪动过程当中举行打针以免低压倏地浓注;

8. Consider pulmonary fat embolism in unstable intra- and post-operative patients.

对术中及术后没有不乱的患者,要斟酌脂肪肺栓塞危害;

9. Review gluteal vascular anatomy and draw landmarks to identify and avoid injection into the pedicle.

回忆臀部血管剖解并作术前标志,制止打针至椎弓根;

10. Include risk of fat embolism and surgical alternatives in the informed consent process.

正在术前便充实斟酌脂肪栓塞的危害和备用脚术规划。