氢氟酸烧伤的手-罕见的紧急情况

J. Peter , S.-M. Maksan , K. Eichler , T.C. Schmandra , T. Schmitz-Rixen
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引用次数: 2

摘要

我们报告一个成功的血管内治疗氢氟酸烧伤的手。报告一名工人在用60%的氢氟酸受伤后,抱怨手指D II至D V剧烈疼痛。数字减影血管造影显示掌总动脉血管痉挛。我们选择性地在动脉内应用20%葡萄糖酸钙。治疗后所有动脉灌注。前列地尔、乙酰水杨酸和氯吡格雷联合用药。疼痛症状改善,感觉和运动功能恢复。讨论:建议立即血管造影和动脉内应用葡萄糖酸钙治疗肢体氢氟酸烧伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hydrofluoric Acid Burn of the Hand – A Rare Emergency

Introduction

We report on successful endovascular treatment of a hydrofluoric acid burn to the hand.

Report

A worker complained of severe pain in the fingers D II to D V after injury with 60% hydrofluoric acid. A digital subtraction angiography showed vasospasm of the common palmar digital artery. We selectively applied 20% calcium gluconate intra-arterially.

After treatment all arteries were perfused. Alprostadil, acetylsalicylic acid and clopidogrel were administered in conjunction. Pain symptoms improved and sensory and motor functions were restored.

Discussion

Immediate angiography and intra-arterial application of calcium gluconate are recommended to treat hydrofluoric acid burn to a limb.

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