Department of Dermatology, West China Hospital, Sichuan University, Chengdu, 610041, China; Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology (CIII), Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, 610041, China.
Department of Dermatology, West China Hospital, Sichuan University, Chengdu, 610041, China; Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology (CIII), Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, 610041, China.
Chin J Traumatol. 2022 May;25(3):184-186. doi: 10.1016/j.cjtee.2021.10.006. Epub 2021 Oct 30.
Frostbite in Southwestern China has been overlooked due to its low incidence, relatively mild temperature and lack of literature published before. However, it needs to be further studied for religious diversity and distinct geomorphology. In this article, we reported an 18-year-old Tibetan girl who suffered from blizzard attack during pilgrimage. Her feet and several fingers showed mummified gangrene upon physical examination with poor movement. She was diagnosed with 3rd to 4th degree of frostbite. The girl was given oral ibuprofen, debridement and other regular treatment daily, but she was eventually amputated due to insufficient thrombolytic management in primary hospital, delayed informing consent in the referral hospital and ethnic conflict between religion and guidelines. This case enriched the experience of managing complex frostbite in Tibetan population and alarms that efforts should be integrated to protect pilgrims and mountaineers in the Tibetan region.
中国西南地区的冻伤由于其发病率低、温度相对温和以及之前缺乏文献报道而被忽视。然而，由于宗教多样性和独特的地貌，它需要进一步研究。在本文中，我们报告了一例 18 岁的藏族女孩在朝圣时遭受暴风雪袭击的病例。她的脚和几个手指在体格检查时出现木乃伊样坏疽，运动功能差。她被诊断为 3 度至 4 度冻伤。女孩每天接受口服布洛芬、清创等常规治疗，但由于在基层医院溶栓管理不足、转诊医院告知同意延迟以及宗教与指南之间的民族冲突，最终还是被截肢。该病例丰富了藏族人群中复杂冻伤管理的经验，并警示人们应努力保护藏区的朝圣者和登山者。
