• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

生命的首个挑战:探索一例因脐带扭转导致的新生儿腕部坏死伴足部畸形;病例报告研究

Life's first challenge: Exploring wrist necrosis accompanied by feet deformity in a newborn from umbilical cord torsion; a case report study.

作者信息

Bagheri Niloofar, Bahmani Katayoun, Poursaadat Newsha, Faraji Navid, Hamidi Kosar, Rezaei Behrooz

机构信息

MSc, Department of Nursing, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran.

BSN, Department of Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Int J Surg Case Rep. 2025 Aug;133:111538. doi: 10.1016/j.ijscr.2025.111538. Epub 2025 Jun 19.

DOI:10.1016/j.ijscr.2025.111538
PMID:40543443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12221847/
Abstract

INTRODUCTION AND IMPORTANCE

This study involves the critical challenge of left wrist necrosis in newborns, particularly when accompanied by foot deformities due to umbilical cord torsion. Prompt recognition and management of such congenital conditions are vital for optimizing health outcomes.

CASE PRESENTATION

We present a case of a newborn male, delivered at term, who exhibited significant left wrist necrosis and bilateral clubfoot deformities. The clinical course revealed compromised blood flow during labor, leading to ischemia and subsequent necrosis of the wrist, alongside the development of clubfeet.

DISCUSSION

Our study emphasizes the necessity for early diagnosis and a multidisciplinary approach involving pediatric surgeons, orthopedic specialists, and physical therapists. The case illustrates the importance of psychological support for families coping with the emotional ramifications of surgical interventions. Furthermore, the rare combination of wrist necrosis and clubfoot deformities highlights the need for enhanced prenatal monitoring and research into underlying mechanisms and risk factors.

CONCLUSION

This case underscores the significance of collaborative management strategies in addressing complex congenital conditions. By improving our understanding of these challenges and emphasizing the importance of early intervention, we can better support affected infants and their families, ultimately enhancing care practices in neonatology. Continued research is essential to develop targeted strategies for prevention and management in similar cases.

摘要

引言与重要性

本研究涉及新生儿左腕坏死这一关键挑战,尤其是当伴有因脐带扭转导致的足部畸形时。对此类先天性疾病的及时识别和处理对于优化健康结局至关重要。

病例介绍

我们呈现一例足月出生的男婴病例,该男婴表现出明显的左腕坏死和双侧马蹄内翻足畸形。临床病程显示分娩过程中血流受损,导致手腕缺血及随后的坏死,同时伴有马蹄内翻足的发展。

讨论

我们的研究强调早期诊断以及由小儿外科医生、骨科专家和物理治疗师参与的多学科方法的必要性。该病例说明了为应对手术干预带来的情感影响而为家庭提供心理支持的重要性。此外,腕部坏死和马蹄内翻足畸形的罕见组合凸显了加强产前监测以及对潜在机制和风险因素进行研究的必要性。

结论

该病例强调了协作管理策略在处理复杂先天性疾病方面的重要性。通过增进我们对这些挑战的理解并强调早期干预的重要性,我们能够更好地支持受影响的婴儿及其家庭,最终改善新生儿科的护理实践。持续的研究对于制定针对类似病例的预防和管理策略至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/87cb6bbc2d12/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/53e92bfddcbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/4bdcea3cb3c1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/87cb6bbc2d12/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/53e92bfddcbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/4bdcea3cb3c1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c8/12221847/87cb6bbc2d12/gr3.jpg

相似文献

1
Life's first challenge: Exploring wrist necrosis accompanied by feet deformity in a newborn from umbilical cord torsion; a case report study.生命的首个挑战:探索一例因脐带扭转导致的新生儿腕部坏死伴足部畸形;病例报告研究
Int J Surg Case Rep. 2025 Aug;133:111538. doi: 10.1016/j.ijscr.2025.111538. Epub 2025 Jun 19.
2
Neonatal Nurses' Understanding of the Factors That Enhance and Hinder Early Communication Between Preterm Infants and Their Parents: A Narrative Inquiry Study.新生儿护士对促进和阻碍早产儿与其父母早期沟通因素的理解:一项叙事探究研究。
Int J Lang Commun Disord. 2025 Jul-Aug;60(4):e70093. doi: 10.1111/1460-6984.70093.
3
Management of urinary stones by experts in stone disease (ESD 2025).结石病专家对尿路结石的管理(2025年结石病专家共识)
Arch Ital Urol Androl. 2025 Jun 30;97(2):14085. doi: 10.4081/aiua.2025.14085.
4
Sexual Harassment and Prevention Training性骚扰与预防培训
5
Group-based interventions to reduce gambling involvement among male football fans: a synopsis of findings from a feasibility study.基于群体的干预措施以减少男性足球迷的赌博行为:一项可行性研究结果概述
Public Health Res (Southampt). 2025 Jul;13(6):1-24. doi: 10.3310/SWWP9393.
6
Systemic Inflammatory Response Syndrome全身炎症反应综合征
7
- and -Related Osteogenesis Imperfecta与……相关的成骨不全症 (你提供的原文不完整,推测这里可能是想表达“某种因素与成骨不全症相关”,但仅从现有的“- and -Related Osteogenesis Imperfecta”很难准确翻译出完整准确的内容,以上是基于可能情况的翻译 )
8
The development of a core outcome set for evaluating and enhancing palliative sedation in clinical research and practice: The COSEDATION study protocol.用于评估和加强临床研究与实践中姑息性镇静的核心结局集的制定:COSEDATION研究方案。
Palliat Care Soc Pract. 2025 Jul 12;19:26323524251340706. doi: 10.1177/26323524251340706. eCollection 2025.
9
Isolated Methylmalonic Acidemia孤立性甲基丙二酸血症
10
Prenatal interventions for congenital diaphragmatic hernia for improving outcomes.用于改善先天性膈疝预后的产前干预措施。
Cochrane Database Syst Rev. 2015 Nov 27;2015(11):CD008925. doi: 10.1002/14651858.CD008925.pub2.

引用本文的文献

1
The dangers of changing plant soil: Healing anthrax infection in a 50-year-old woman's hand by surgical debridement and maggot therapy; a case report study.更换植物土壤的危险:通过手术清创和蛆虫疗法治愈一名50岁女性手部炭疽感染;病例报告研究
Int J Surg Case Rep. 2025 Aug 21;135:111857. doi: 10.1016/j.ijscr.2025.111857.

本文引用的文献

1
Surgical management of a massive omphalocele in a newborn: A case report study.新生儿巨大脐膨出的手术治疗:一项病例报告研究。
Int J Surg Case Rep. 2025 Jan;126:110680. doi: 10.1016/j.ijscr.2024.110680. Epub 2024 Nov 28.
2
Heavy Metals in Umbilical Cord Blood: Effects on Epigenetics and Child Development.脐带血中的重金属:对表观遗传学和儿童发育的影响。
Cells. 2024 Oct 26;13(21):1775. doi: 10.3390/cells13211775.
3
Clinical and hematological analysis of testicular torsion in children.儿童睾丸扭转的临床与血液学分析
Front Pediatr. 2024 Sep 20;12:1399349. doi: 10.3389/fped.2024.1399349. eCollection 2024.
4
Apert syndrome in a newborn with premature fusion of skull bones, a rostral nose, and cleft palate: A case report.一名患有颅骨过早融合、喙状鼻和腭裂的新生儿的Apert综合征:病例报告。
Clin Case Rep. 2024 Aug 15;12(8):e9298. doi: 10.1002/ccr3.9298. eCollection 2024 Aug.
5
Uterine sacrifice in obstetric emergencies case series: Complex cases of fetal distress, labor challenges, and life-saving interventions.产科紧急情况病例系列中的子宫切除术:胎儿窘迫、分娩挑战及挽救生命干预的复杂病例
SAGE Open Med Case Rep. 2024 Jul 24;12:2050313X241261487. doi: 10.1177/2050313X241261487. eCollection 2024.
6
Healing of a diabetic foot wound through surgical debridement using med-honey, maggot therapy, and human amniotic membrane: A case study.使用医用蜂蜜、蛆虫疗法和人羊膜进行手术清创治疗糖尿病足伤口:一项病例研究。
Int J Surg Case Rep. 2024 Sep;122:110041. doi: 10.1016/j.ijscr.2024.110041. Epub 2024 Jul 19.
7
Major surgical conditions of childhood and their lifelong implications: comprehensive review.儿童时期的主要外科病症及其终身影响:综合综述。
BJS Open. 2024 May 8;8(3). doi: 10.1093/bjsopen/zrae028.
8
A Comprehensive Review of Treatment Strategies for Early Avascular Necrosis.早期缺血性坏死治疗策略的全面综述
Cureus. 2023 Dec 14;15(12):e50510. doi: 10.7759/cureus.50510. eCollection 2023 Dec.
9
Fighting diabetic foot ulcer by combination therapy, including larva therapy, Medi honey ointment, and silver alginate dressings: A case report.采用联合疗法治疗糖尿病足溃疡,包括蛆虫疗法、医用蜂蜜软膏和藻酸盐银敷料:一例病例报告。
Int J Surg Case Rep. 2023 Dec;113:109055. doi: 10.1016/j.ijscr.2023.109055. Epub 2023 Nov 13.
10
Maggot therapy, alginate dressing, and surgical sharp debridement: Unique path to save unresponsive diabetic foot ulcer.蛆虫疗法、藻酸盐敷料和手术锐性清创术:挽救无反应性糖尿病足溃疡的独特途径。
Int J Surg Case Rep. 2023 Oct;111:108907. doi: 10.1016/j.ijscr.2023.108907. Epub 2023 Oct 4.