Ogedegbe Chinwe, Udongwo Ndausung, Kalejaiye Ayoola, Alshami Abbas, Alfraji Nasam, Spariousu Magdalene
Emergency Medicine, Hackensack University Medical Center, Hackensack, USA.
Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.
Cureus. 2021 Aug 14;13(8):e17176. doi: 10.7759/cureus.17176. eCollection 2021 Aug.
Traumatic amputations are partial or complete dismemberment of part of the human body (usually one limb) due to an injury that involves a component of blunt force trauma. It is usually caused by accidental events and only very rarely due to suicidal events. A 37-year-old female with major depressive disorder attempted suicide by placing her forearms on a railroad track, resulting in traumatic bilateral upper extremity amputations. Emergency Department resuscitation was initiated as the patient was taken immediately to the operating room; however, restoration of the limbs was unfeasible, and the patient had successful debriding and fashioning a flap to the distal ends of the upper extremities after hemostasis was achieved. Depression may still be an undertreated clinical entity in our society, and many preventable causes of suicide are attempted each year. Evidence exists that suggests severe suicide attempts occur generally in men and minor suicide attempts, or so-called suicidal gestures, occur generally in women. This case questions this notion.
创伤性截肢是指由于涉及钝性暴力创伤成分的损伤导致人体部分（通常是一个肢体）部分或完全离断。它通常由意外事件引起，极少由自杀事件导致。一名患有重度抑郁症的37岁女性将前臂放在铁轨上试图自杀，导致双侧上肢创伤性截肢。患者被立即送往手术室时，急诊科启动了复苏措施；然而，肢体再植不可行，在实现止血后，患者成功进行了清创并为上肢远端制作了皮瓣。在我们的社会中，抑郁症可能仍然是一个治疗不足的临床问题，每年都有许多可预防的自杀原因导致自杀未遂。有证据表明，严重的自杀未遂通常发生在男性中，而轻微的自杀未遂，即所谓的自杀姿态，通常发生在女性中。本病例对这一观点提出了质疑。
