Lohana Parkash, Vashishta Girish N, Price Neil
Department of Trauma and Orthopaedics, Morriston Hospital, Swansea, UK.
Ann R Coll Surg Engl. 2006 Jul;88(4):W6-8. doi: 10.1308/147870806X95276.
Strangulation of digits, the 'toe-tourniquet' syndrome needs prompt intervention as failure to recognise the condition can lead to ischaemia and loss of the appendage. It is a common condition though relatively under reported. Those who deal with children more frequently are aware of the condition but this is not the case for all medical practitioners and hence the diagnostic dilemma for accidental injury or child abuse arises. We report this case to increase physician awareness of the syndrome, to highlight the importance of early release of the tourniquet and to avoid misinterpretation of the condition as child abuse.
手指绞勒，即“脚趾止血带”综合征，需要及时干预，因为未能识别这种情况可能导致缺血和肢体丧失。这是一种常见情况，尽管报告相对较少。经常接触儿童的人了解这种情况，但并非所有医生都如此，因此出现了意外伤害或虐待儿童的诊断困境。我们报告此病例，以提高医生对该综合征的认识，强调早期松开止血带的重要性，并避免将这种情况误解为虐待儿童。
