Bougie Emilie, Cugno Sabrina
From the Division of Plastic Surgery, McGill University Health Centre, Montreal Children's Hospital, Montreal, Canada.
Pediatr Emerg Care. 2020 Apr;36(4):e233-e235. doi: 10.1097/PEC.0000000000001288.
Closed digital artery injury is a very rare phenomenon, even more so in children, with only 5 cases reported in the literature. We report a case of closed digital arterial interruption in a child after crush injury to the left hand. We further discuss possible etiologies and describe adequate management as found in the pertinent literature. Digital arterial injury should be suspected even in closed hand trauma because a delay in recognition may lead to devastating consequences.
闭合性指动脉损伤是一种非常罕见的现象,在儿童中更是如此,文献中仅报道过5例。我们报告1例儿童左手挤压伤后出现闭合性指动脉中断的病例。我们进一步讨论了可能的病因,并描述了相关文献中找到的适当处理方法。即使是闭合性手部创伤,也应怀疑有指动脉损伤,因为识别延迟可能会导致灾难性后果。