Bishop H M, Collin J, Wood R F, Morris P J
Injury. 1984 May;15(6):379-80. doi: 10.1016/0020-1383(84)90200-6.
The winter of 1981-1982 in Oxfordshire was unusually cold. During this winter, 18 patients with frostbite were referred to the Peripheral Vascular Service of the Nuffield Department of Surgery. The age-range was 52-83 years. None was diabetic. Seven were smokers. All had frostbite of either feet or fingers, sometimes of both. Patients could be divided into 2 groups based on the severity of their injury. In the first group 10 patients had mild injuries and were managed as outpatients. One patient had terminal phalanges amputated as a day case. Patients in this group had adequate homes and no associated medical disease. Eight patients in the second group had severe frostbite. All were socially disadvantaged and 4 had significant medical disease (mitral valve disease, lymphoma, alcoholism and depression). Because of social circumstances and because it takes time to establish the line of demarcation between healthy and dead tissue, all patients in this group were in hospital for a minimum of 2 months (range 2-10 months). Four patients required skin grafting and 2 needed special shoes to enable them to walk. There needs to be greater public awareness of the dangers and risks of cold injury.
1981年至1982年牛津郡的冬天异常寒冷。在这个冬天，18名冻伤患者被转诊至纳菲尔德外科系的周围血管科。年龄范围在52岁至83岁之间。无人患有糖尿病。7人吸烟。所有人均有足部或手指冻伤，有时两者皆有。根据受伤严重程度，患者可分为两组。第一组10名患者伤势较轻，作为门诊病人处理。一名患者在日间手术中接受了末节指骨截肢。该组患者有合适的住所且无相关内科疾病。第二组8名患者有严重冻伤。他们均处于社会弱势群体，4人患有严重内科疾病（二尖瓣疾病、淋巴瘤、酗酒和抑郁症）。由于社会环境因素以及确定健康组织与坏死组织之间分界线需要时间，该组所有患者至少住院2个月（范围为2至10个月）。4名患者需要植皮，2名患者需要特殊鞋子才能行走。公众需要对冷损伤的危险和风险有更高的认识。
