Garg Ishan, Baladron Zanetti Maria J, Kendi Ayse T
Department of Radiology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Indian J Nucl Med. 2017 Oct-Dec;32(4):367-368. doi: 10.4103/ijnm.IJNM_53_17.
A 39-year-old male presented to the emergency department (ED) with frostbite to the fingers of both hands. In the ED, he received warm baths, acetylsalicylic acid, clopidogrel, and heparin. A three-phase bone scintigraphy with technetium-99m-methylene diphosphonate revealed absent radiotracer uptake in distal phalanges of both hands. The patient received acetylsalicylic acid, clopidogrel and wound care for the next 5 days and made an excellent recovery with satisfactory wound healing in both hands. Early rapid rewarming and reperfusion can improve the prognosis significantly and therefore bone scan done within first 1-2 days may give spurious results.
一名39岁男性因双手手指冻伤被送至急诊科。在急诊科，他接受了温水浴、乙酰水杨酸、氯吡格雷和肝素治疗。用锝-99m-亚甲基二膦酸盐进行的三相骨闪烁扫描显示双手远端指骨无放射性示踪剂摄取。在接下来的5天里，患者接受了乙酰水杨酸、氯吡格雷治疗及伤口护理，双手伤口愈合良好，恢复情况极佳。早期快速复温和再灌注可显著改善预后，因此在最初1 - 2天内进行的骨扫描可能会给出假结果。
