Hamdy R C, Babyn P S, Krajbich J I
Department of Orthopaedics, Hospital for Sick Children, University of Toronto, Ontario, Canada.
J Pediatr Orthop. 1993 Jul-Aug;13(4):447-51. doi: 10.1097/01241398-199307000-00006.
Technetium bone scintigraphy was performed in four patients with fulminant meningococcemia and extensive peripheral gangrene. The bone scans showed variable levels of absent uptake in all extremities of the four patients who subsequently required quadrimembral amputations. In 13 limbs, the level of amputation was determined primarily by the bone scan findings, and operation was successful in 84% of those limbs. These findings suggest that bone scanning is a useful adjunct in differentiating viable from nonviable tissues in patients with extensive peripheral gangrene secondary to fulminant meningococcemia and thus helps determine the appropriate level of amputation in such patients.
对4例暴发性脑膜炎球菌血症并伴有广泛外周坏疽的患者进行了锝骨闪烁扫描。骨扫描显示，这4例随后需要进行四肢截肢的患者的所有肢体均有不同程度的摄取缺失。在13条肢体中，截肢水平主要由骨扫描结果决定，其中84%的肢体手术成功。这些发现表明，骨扫描有助于鉴别暴发性脑膜炎球菌血症继发广泛外周坏疽患者的存活组织与非存活组织，从而有助于确定此类患者的合适截肢水平。
