Sengupta S
Aust N Z J Med. 1976 Feb;6(1):71-3. doi: 10.1111/j.1445-5994.1976.tb03295.x.
Irreversible ischaemic gangrene of the upper limb developed in a one-year-old child after an unintentional intra-arterial injection of procaine penicillin. The hand needed amputation. Arterial embolization phenomenon along with intense vasospasm appears to have been responsible for this rare complication. Unintentional intra-arterial injection of penicillin intended for intra-muscular use may lead to disastrous consequences. Regional tissue necrosis has been described previously but ischaemia leading to gangrene of an extremity has not been reported. The following is a case report of a child who developed such a gangrene in his hand which had to be amputated.
一名一岁儿童在无意中进行动脉内注射普鲁卡因青霉素后，出现了上肢不可逆性缺血性坏疽。手部需要截肢。动脉栓塞现象以及强烈的血管痉挛似乎是导致这一罕见并发症的原因。无意中将用于肌肉注射的青霉素进行动脉内注射可能会导致灾难性后果。此前曾有局部组织坏死的描述，但导致肢体坏疽的缺血情况尚未见报道。以下是一名儿童手部发生此类坏疽并不得不截肢的病例报告。
