Couceiro José, Garcia-Portal Gonzalo, Garcia Olga
Orthopedics Department, Hand Surgery Unit, Hospital Universitario Marques de Valdecilla, Santander, Cantabria, Spain.
Hand Surgery Unit, Department of Orthopedics, Hospital Univeristario Marques de Valdecilla, Santander, Cantabria, Spain.
Surg J (N Y). 2017 Dec 21;3(4):e188-e190. doi: 10.1055/s-0037-1609048. eCollection 2017 Oct.
Oxyfluorfen, a commercially available pesticide, commonly used for weed control in crop production, has been studied in terms of its toxicity, its carcinogenic properties, and its teratogenicity. We have found no reports, however, of the effects produced by an oxyfluorfen injection to the upper limb. We present the case of a 40 years old psychiatric patient, who reportedly injected her forearm accidentally while fumigating her garden. She was treated with irrigation and open forearm fasciectomy. At 6 months, the patient had some tenderness at the scar; she wanted no further procedures done. Oxyfluorfen appeared to produce a chemical burn to the forearm tissues including the fascia, removal of the chemical product, and a limited fasciectomy, resulted in a favorable outcome.
乙氧氟草醚是一种市售农药,常用于作物生产中的杂草控制,人们已对其毒性、致癌特性和致畸性进行了研究。然而,我们尚未发现有关于乙氧氟草醚注入上肢所产生影响的报告。
我们报告一例40岁精神科患者的病例,据报道她在花园熏蒸时意外将乙氧氟草醚注入前臂。她接受了冲洗和开放性前臂筋膜切开减压术治疗。
6个月时,患者瘢痕处仍有一些压痛;她不想再接受进一步治疗。
乙氧氟草醚似乎对包括筋膜在内的前臂组织造成了化学灼伤,清除化学物质并进行有限的筋膜切开减压术,取得了良好效果。