Johnson D, Rosen J M, Khoury M, Stevenson D
Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Calif. 94305.
J Hand Surg Am. 1988 May;13(3):408-10. doi: 10.1016/s0363-5023(88)80020-0.
We describe a case of neonatal infarction involving both upper extremities. Oligohydramnios, resulting in compression of both arms within the uterus, is proposed as the cause of this congenital gangrene. Despite attempted conservative management, both arms became flaccid and moist. By the third day of life, the infant's worsening cardiovascular status necessitated amputation. This rare disorder has varying degrees of presentation. Limbs have been salvaged with conservative management of the extremity, coupled with appropriate surgical intervention, and neonatal intensive care.
我们描述了一例涉及双侧上肢的新生儿梗死病例。羊水过少导致子宫内双臂受压，被认为是这种先天性坏疽的病因。尽管尝试了保守治疗，但双臂仍变得松弛且潮湿。出生第三天，婴儿不断恶化的心血管状况使得必须进行截肢。这种罕见的疾病有不同程度的表现。通过对肢体进行保守治疗、适当的手术干预以及新生儿重症监护，肢体得以保全。
