Salameh Yousef, Shoufani Aziz
Department of Orthopedic Surgery Haemek Medical Center, Afula, Israel.
J Pediatr Surg. 2004 Apr;39(4):e9-11. doi: 10.1016/j.jpedsurg.2003.12.030.
The arginine test is highly useful in the evaluation of short-stature children and adolescents. Extravasation of arginine can cause full-thickness skin necrosis that requires serious surgical intervention with aesthetic and functional sequellea. The authors describe a case of distal forearm skin necrosis caused by arginine extravasation that was treated by wide debridement and a combination of groin flap and later with split-thickness skin graft. The authors emphasize the need for early and active management of arginine extravasation injuries.
精氨酸试验在评估身材矮小的儿童和青少年方面非常有用。精氨酸外渗可导致全层皮肤坏死，这需要进行严重的手术干预，并会留下美学和功能方面的后遗症。作者描述了一例由精氨酸外渗引起的前臂远端皮肤坏死病例，该病例通过广泛清创以及腹股沟皮瓣联合随后的中厚皮片移植进行治疗。作者强调对精氨酸外渗损伤进行早期积极处理的必要性。
