Preserving finger length in a patient with symmetric digital gangrene under local anesthesia:A case report  

作　　者：Keun Hyung Kim In Chang Ko Hoon Kim Soo Yeon Lim 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Konyang University Medical Center,Konyang University of College of Medicine,Daejeon 35365,South Korea [2]Department of Plastic and Reconstructive Surgery,Konyang University Hospital,Konyang University of College of Medicine,Myunggok Medical Research Center,Daejeon 35365,South Korea

出　　处：《World Journal of Clinical Cases》2023年第27期6640-6645,共6页世界临床病例杂志

摘　　要：BACKGROUND Case reports of symmetric digital gangrene resulting from high-dose vasopressors use in patients with alcoholic ketoacidosis,leading to cardiac arrest,are rare.To date,no specific treatment method for autolysis or surgical amputation or guidelines for determining the level of amputation have been established.CASE SUMMARY In this case report,we describe a treatment method that effectively preserved the function of fingers by surgical treatment under local anesthesia with a minimum operative time,while also preserving finger length to the maximum possible extent.CONCLUSION Our approach may contribute to improved postoperative quality of life by preserving finger length.

关 键 词：ACIDOSIS Disseminated intravascular coagulation KETOSIS Purpura fulminans Surgical amputation Case report 

分 类 号：R614[医药卫生—麻醉学]