PDF(Pubmed)
Abstract：
This case report presents the complex analgesia management of a 52-year-old male with a significant medical history including atrial fibrillation treated with apixaban, essential trigeminal neuralgia, non-ischemic cardiomyopathy, and chronic systolic heart failure. The patient experienced a loss of control while riding a motorized bicycle, resulting in a fall and head injury with no loss of consciousness. Upon admission, he tested positive for ethanol, cannabinoids, and oxycodone. The physical exam was significant for right cephalohematoma and right elbow hematoma. Imaging revealed multiple injuries, including right rib fractures (T3-12) with hemothorax. Right paravertebral catheters were placed in the intensive care unit (ICU).
摘要：
该病例报告介绍了一名52岁男性的复杂镇痛管理，该男性有明显的病史，包括用阿哌沙班治疗的心房颤动。原发性三叉神经痛，非缺血性心肌病,和慢性收缩性心力衰竭.患者在骑电动自行车时失去控制，导致跌倒和头部受伤，没有意识丧失。一被录取,他的乙醇检测呈阳性,大麻素,和羟考酮.体格检查对右侧头颅血肿和右肘血肿有重要意义。影像显示多处受伤,包括右肋骨骨折（T3-12）伴血胸。将右侧椎旁导管放置在重症监护病房（ICU）中。
