McGoldrick David M, Khan Irfan, Cotter Chris J
Department of Maxillofacial, Cork University Hospital, Cork, Ireland.
BMJ Case Rep. 2015 Jan 7;2015:bcr2014208330. doi: 10.1136/bcr-2014-208330.
Necrosis of the tongue is a rare clinical finding. The rich vascularity of the tongue means necrosis is uncommon but it has been reported secondary to giant cell arthritis, radiotherapy and ischaemia. We report the case of a 61-year-old man admitted with an acute abdomen, who later developed gross swelling of the tongue, secondary to ischaemic necrosis, which necessitated tracheostomy placement. The ischaemia was managed conservatively with heparinisation and by allowing the ischaemic area to demarcate and slough off naturally.
舌坏死是一种罕见的临床发现。舌部丰富的血管分布意味着坏死并不常见，但已有继发于巨细胞关节炎、放疗和缺血的相关报道。我们报告一例61岁男性患者，因急腹症入院，随后因缺血性坏死导致舌部明显肿胀，需行气管切开术。缺血情况通过肝素化保守处理，并让缺血区域自然分界和脱落。
