Jahn R
Zentralbl Chir. 1985;110(8):482-5.
In a 28 years old female who had undergone osteosynthesis for treating a pilon tibial fracture we postoperatively observed a spasm of the equilateral superficial femoral artery, followed by gangrene of the lower leg. The only therapy which was still possible as a life saving procedure consisted in amputating the lower leg. For prophylactic reasons the woman was postoperatively administered dihydroergotamin in combination with heparin. The author emphasises the fact that patients suffering from chronic liver diseases are particularly endangered by ergotism.
在一名28岁接受胫骨平台骨折接骨术的女性患者身上,我们在术后观察到股浅动脉等长痉挛,随后小腿发生坏疽。唯一仍可行的挽救生命的治疗方法是截肢小腿。出于预防原因,术后给该女性患者使用了双氢麦角胺联合肝素。作者强调,患有慢性肝病的患者特别容易受到麦角中毒的威胁。