Carr M M, al-Qattan M, Clarke H M
Hospital for Sick Children, Toronto, Canada.
J Hand Surg Br. 1996 Oct;21(5):652-5. doi: 10.1016/s0266-7681(96)80152-5.
A neonate with extremity gangrene resulting from intrauterine embolization of infarcted placental substances is discussed. This rare clinical entity is thought to be most commonly a manifestation of embolic phenomenon during maturation of the neonatal circulatory system. Management of neonatal gangrene is conservative, delaying amputation as long as possible since the line of demarcation tends to migrate distally. Evidence of multiple emboli should be carefully sought prior to definitive treatment.
本文讨论了一名因梗死胎盘物质宫内栓塞导致肢体坏疽的新生儿。这种罕见的临床病症被认为最常见于新生儿循环系统成熟过程中的栓塞现象。新生儿坏疽的治疗较为保守，尽可能延迟截肢，因为分界线往往会向远端移动。在进行确定性治疗之前，应仔细寻找多处栓塞的证据。
