局麻下桡骨远端骨折手法复位中盐酸利多卡因中毒致休克1例

A case of shock caused by lidocaine hydrochloride poisoning during manual reduction of distal radius fracture under local anesthesia

患者,男,53岁,因“摔伤致左腕部畸形肿痛1 h”步行来院急诊。患者1 h前不慎从1 m高凳子上摔下,左手掌着地,致左腕部畸形、肿痛,无其他不适,来我院急诊就诊。既往病史:自诉平时体健,无药物及食物过敏史。查体:体温36.5℃,呼吸19次/分,血压122/73 mmHg(1 mmHg=0.133 kPa),心率82次/分,血糖6.7 mmol/L,神志清,精神可,对答切题。