青少年非冻结性冷伤7例临床分析  

Clinical analysis of non-freezing cold injury in 7 adolescents

作　　者：高静[1] 秦攀[1] 张大[1] 杨林[1] Gao Jing;Qin Pan;Zhang Da;Yang Lin(Department of Pediatric Surgery,the First Afiliated Hospital of Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州大学第一附属医院小儿外科,郑州450001

出　　处：《中华实用儿科临床杂志》2025年第3期217-219,共3页Chinese Journal of Applied Clinical Pediatrics

摘　　要：目的总结青少年非冻结性冷伤(NFCI)的诊断及治疗经验。方法回顾性病例总结。分析2023年12月至2024年1月在郑州大学第一附属医院就诊的7例NFCI患儿的临床资料。结果 7例患儿中, 男2例, 女5例, 临床表现均为双足持续性疼痛伴僵硬, 累及双足跖趾关节、趾间关节、足面, 以足趾最为严重, 夜间疼痛加重, 7例患儿均进行了足部磁共振成像检查, 其中4例提示距骨、内侧跗骨、跖骨及趾骨内多发斑片状压脂高信号, 考虑缺血灶;3例提示踝关节腔、部分跗骨关节间隙、跖趾关节间隙可见片状长T1长T2液体信号, 考虑关节积液骨髓水肿。4例患儿连续5 d每天使用1次10 mg氢化泼尼松注射液静脉滴注, 疼痛感消失, 僵硬完全缓解。结论 NFCI是一种罕见的冷伤而非冻伤疾病。致病条件及临床表现为主要诊断依据, 小剂量氢化泼尼松可以为治疗本病提供帮助。To summarize experience in the diagnosis and treatment of adolescent non-freezing cold injury(NFCI).Methods:Retrospective case summary.The clinical data of 7 children with NFCI treated at the First Affiliated Hospital of Zhengzhou University from December 2023 to January 2024 were reviewed.Results:Among the 7 children,including 2 boys and 5 girls,the main clinical manifestations were persistent pain with stiffness in feet,involving metatarsophalangeal joint,interphalangeal joint,and plantar surface,with toe pain the severest,and the pain worsened at night.All 7 children had magnetic resonance imaging of the foot,and among them,4 cases showed multiple patchy fat-suppressed high signals on talus,medial tarsal bone,metatarsal bone,and phalangeal bone,suggesting ischemia,and 3 cases showed long T1 long T2 fluid signals on ankle joint cavity,some tarsal joint space,and metatarsophalangeal joint space,suggesting bone marrow edema with joint effusion.Four children received intravenous infusion of 10 mg Hydroprednisone injection once a day for 5 consecutive days,with loss of pain and complete resolution of stiffness.Conclusions:NFCI is a rare cold injury but not frostbite disease.Pathogenic conditions and clinical manifestations are the main basis for its diagnosis,and low-dose hydroprednisone is effective for the treatment of this disease.

关 键 词：疼痛 青少年 非冻结性冷伤 激素 寒冷 

分 类 号：R68[医药卫生—骨科学]