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一名格陵兰因纽特人严重冻伤损伤的成功保守治疗

Successful conservative treatment of severe frostbite lesions in a Greenlandic Inuit.

作者信息

Ekdahl Martin, Penninga Luit

机构信息

Ilulissat Hospital, Ilulissat, Greenland.

出版信息

BMJ Case Rep. 2017 Jun 19;2017:bcr-2017-219672. doi: 10.1136/bcr-2017-219672.

DOI:10.1136/bcr-2017-219672
PMID:28630224
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5534747/
Abstract

Frostbite may cause lesions. The severity ranges from superficial wounds to severe cases with loss of limbs and tissue. Hence, proper treatment is of utmost importance. We present a case of an 18-year-old man from Arctic Greenland who was admitted with severe frostbite lesions involving both hands. The patient had fallen asleep outside during extreme temperatures. He was treated conservatively with proper wound care, antibiotics and intensive physical therapy. The patient made a full recovery without sequelae. The current report emphasises that non-operative treatment should be attempted for frostbite lesions, as conservative treatment often results in good outcomes.

摘要

冻伤可能会导致损伤。其严重程度从浅表伤口到肢体和组织丧失的严重病例不等。因此,恰当的治疗至关重要。我们报告一例来自北极格陵兰岛的18岁男性病例,该患者因双手严重冻伤入院。患者在极端温度下于户外入睡。他接受了包括适当伤口护理、抗生素和强化物理治疗在内的保守治疗。患者完全康复,无后遗症。本报告强调,对于冻伤损伤应尝试非手术治疗,因为保守治疗通常能取得良好效果。

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Severe Frostbite on Both Hands and Feet in a Vignette Case: From Physics to Clinics.一个病例 vignette 中的双手双脚严重冻伤:从物理学到临床
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本文引用的文献

1
The Triaging and Treatment of Cold-Induced Injuries.寒冷所致损伤的分诊与治疗
Dtsch Arztebl Int. 2015 Oct 30;112(44):741-7. doi: 10.3238/arztebl.2015.0741.
2
Frostbite: a practical approach to hospital management.冻伤:医院管理的实用方法
Extrem Physiol Med. 2014 Apr 22;3:7. doi: 10.1186/2046-7648-3-7. eCollection 2014.
3
Cold finger: urban frostbite in the UK.冷手指:英国的城市冻伤
BMJ Case Rep. 2013 Aug 29;2013:bcr1120115167. doi: 10.1136/bcr-11-2011-5167.
4
A clinical review of the management of frostbite.冻伤治疗的临床综述
J R Army Med Corps. 2011 Mar;157(1):73-8. doi: 10.1136/jramc-157-01-13.
5
Managing frostbite.治疗冻伤。
BMJ. 2010 Nov 19;341:c5864. doi: 10.1136/bmj.c5864.
6
Cold damage to the extremities: frostbite and non-freezing cold injuries.四肢冷伤:冻伤和非冻结性冷伤。
Postgrad Med J. 2009 Sep;85(1007):481-8. doi: 10.1136/pgmj.2008.068635.