Deaths associated with liposuction: case reports and review of the literature.
Deaths associated with liposuction: case reports and review of the literature.
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与吸脂术相关的死亡：病例报告和文献综述。
DOI：
10.1520/jfs15226j
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发表时间：
2002
影响因子：
1.6
通讯作者：
P. Ravichandran
中科院分区：
文献类型：
--
作者：
Marvin S. Platt;Lisa J. Kohler;R. Ruiz;S. Cohle;P. Ravichandran
肿胀吸脂术是一种常见的整容手术，在医生办公室作为门诊服务进行，基本上被认为是安全的。含有不良脂肪沉积的身体隆起区域被注射含有利多卡因和肾上腺素的生理盐水以控制疼痛和止血，并通过一个小切口通过插管将积水的细胞吸出。我们最近遇到了三个案例，其中死亡归因于这个程序。两人显示肺部有脂肪栓塞，一人死于液体超载。固定后的肺切片显示间质毛细血管和小动脉内有脂肪栓子。我们回顾了最近的文献，发现肺血栓栓子，脂肪栓塞，液体超载，以及利多卡因和肾上腺素中毒在许多尸检中被发现。负责确定死亡原因和方式的法医病理学家应该熟悉抽脂治疗的尸检结果和风险，并将其传达给他们的临床同事和社区。
Tumescent liposuction is a common cosmetic procedure that is performed as an outpatient service in physician's offices and is largely believed to be safe. The protuberant areas of the body containing the undesirable fat deposits are injected with normal saline containing lidocaine and epinephrine for pain control and hemostasis, and the waterlogged cells are suctioned out via cannula through a small incision. We recently encountered three cases in which deaths were attributed to this procedure. Two showed fat embolization in the lung and one died from fluid overload. The osmium tetroxide post-fixed lung sections showed fat emboli in the interstitial capillaries and arterioles. We reviewed the recent literature and found that pulmonary thromboemboli, fat embolization, fluid overload, and lidocaine and epinephrine intoxication are found at autopsy in many cases. Forensic pathologists responsible for determining the cause and manner of death should become familiar with the postmortem findings and risks of liposuction therapy and communicate them to their clinical colleagues and communities.