Shenaq Deana S, Gottlieb Lawrence J
The University of Chicago Medicine, 5841 South Maryland Avenue, MC 6035, Chicago, IL 60637, USA.
The University of Chicago Medicine, 5841 South Maryland Avenue, MC 6035, Chicago, IL 60637, USA.
Hand Clin. 2017 May;33(2):257-267. doi: 10.1016/j.hcl.2016.12.003.
New treatments of frostbite have led to unprecedented salvage of extremities including fingers and toes. Success is predicated on prompt institution of time-sensitive protocols initiated soon after rewarming, particularly the use of thombolytics. Unfortunately, in the urban setting, most patients are not candidates for these treatment modalities. Triple-phase bone scans have allowed for early determination of devitalized parts that need amputation. Reconstructive surgical techniques are typically used to salvage limb length in these devastating injuries.
冻伤的新疗法已使包括手指和脚趾在内的四肢获得了前所未有的挽救。成功取决于在复温后尽快启动对时间敏感的方案，特别是使用溶栓剂。不幸的是，在城市环境中，大多数患者并不适合这些治疗方式。三相骨扫描能够早期确定需要截肢的坏死部位。在这些严重损伤中，通常采用重建手术技术来挽救肢体长度。
