切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2021, Vol. 16 ›› Issue (01) : 89 -91. doi: 10.3877/cma.j.issn.1673-9450.2021.01.019

所属专题: 经典病例 文献

病例报告

痛风创面并脓毒症致截肢一例
范月莹1, 岳江涛1, 赵雨千1, 连文琴1, 兰俊红1, 周永博1, 贾赤宇1,()   
  1. 1. 361102 厦门大学附属翔安医院烧伤整形与创面修复科
  • 收稿日期:2020-12-05 出版日期:2021-02-01
  • 通信作者: 贾赤宇
  • 基金资助:
    福建省自然科学基金(2019J01011)
  • Received:2020-12-05 Published:2021-02-01
引用本文:

范月莹, 岳江涛, 赵雨千, 连文琴, 兰俊红, 周永博, 贾赤宇. 痛风创面并脓毒症致截肢一例[J]. 中华损伤与修复杂志(电子版), 2021, 16(01): 89-91.

图1 多次扩创联合异体皮移植+负压封闭引流+左下肢截肢治疗重症痛风创面并脓毒症。A示患者入院时双下肢肿胀,且左下肢中段以远肿胀明显;B示入院第2天,痛风性溃疡感染病灶扩创探查引流,术中于肌筋膜间隙见大量白色尿酸盐结晶;C示入院第22天,左足异体皮移植术后外观;D示入院第32天,左足清创联合持续负压封闭引流;E示入院第36天,行左膝膝下截肢术,使用线锯锯断胫腓骨;F示左膝膝下截肢术后残端外观
1
Kuo CF, Grainge MJ, Zhang W, et al. Global epidemiology of gout: prevalence, incidence and risk factors[J]. Nat Rev Rheumatol, 2015, 11(11): 649-662.
2
Wallace KL, Riedel AA, Joseph-Ridge N, et al. Increasing prevalence of gout and hyperuricemia over 10 years among older adults in a managed care population[J]. J Rheumatol, 2004, 31(8): 1582-1587.
3
Juraschek SP, Miller ER 3rd, Gelber AC. Body mass index, obesity, and prevalent gout in the United States in 1988-1994 and 2007-2010[J]. Arthritis Care Res, 2013, 65(1): 127-132.
4
Kuo CF, Grainge MJ, Mallen C, et al. Rising burden of gout in the UK but continuing suboptimal management: a nationwide population study[J]. Ann Rheum Dis, 2015, 74(4): 661-667.
5
路杰,崔凌凌,李长贵. 原发性痛风流行病学研究进展[J]. 中华内科杂志,2015, 54(3): 244-247.
6
Kasper IR, Juriga MD, Giurini JM, et al. Treatment of tophaceous gout: When medication is not enough[J]. Semin Arthritis Rheum, 2016, 45(6): 669-674.
7
王刚,刘毅,张鲜英. 痛风创面的综合治疗[J]. 中华烧伤杂志,2016, 32(6): 336-337.
8
陈静,朱丽花,周毅. 痛风性关节炎合并血流感染、下肢脓肿一例[J]. 海南医学,2019, 30(17): 2290-2291.
9
Huh J, Stinner DJ, Burns TC, et al. Infectious complications and soft tissue injury contribute to late amputation after severe lower extremity trauma[J]. J Trauma, 2011, 7(1 Suppl): S47-51.
10
Lin JH, Jeon SY, Romano PS, et al. Rates and timing of subsequent amputation after initial minor amputation[J]. J Vasc Surg, 2020, 72(1): 268-275.
11
赵刚. 濒临截肢伤的保肢策略[J]. 创伤外科杂志,2014, 16(6): 569-571.
No related articles found!
阅读次数
全文


摘要