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一名新冠肺炎患者桡动脉闭塞后拇指和示指截肢

Thumb and Index Finger Amputation after Radial Artery Occlusion in a Patient with COVID-19.

作者信息

Fisher Brandon T, McKnight Kelly, Jorgensen Benjamin, Van Demark Robert E

机构信息

Sanford Orthopedics and Sports Medicine, Sioux Falls, South Dakota.

Orthopedic Residency Program, University of North Dakota School of Medicine and Health Sciences.

出版信息

S D Med. 2022 Dec;75(12):542-544.

PMID:36893346
Abstract

The pathophysiology and predictability of radial artery thromboembolic events in patients with COVID-19 is not fully understood. We report a case of thumb and index finger gangrene and multiple digit amputations secondary to digital artery occlusion after radial artery cannulation in a patient admitted with COVID-19 pneumonia and encephalopathy. The exact association, causality, and potential hand manifestations in this patient population is unclear at this time, but is of particular interest in the current state of the pandemic.

摘要

新型冠状病毒肺炎(COVID-19)患者桡动脉血栓栓塞事件的病理生理学及可预测性尚未完全明确。我们报告了1例COVID-19肺炎合并脑病患者,在桡动脉置管后发生指动脉闭塞,继发拇指和示指坏疽及多指截肢的病例。目前尚不清楚该患者群体中的确切关联、因果关系及潜在的手部表现,但在当前大流行状态下具有特别的研究意义。

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