Guidelines for Thrombolytic Therapy for Frostbite

被引:23
作者
Hickey, Sean [1 ]
Whitson, Amy [2 ]
Jones, Larry [2 ]
Wibbenmeyer, Lucy [3 ]
Ryan, Colleen [4 ]
Fey, Ryan [5 ]
Litt, Jeffrey [6 ]
Fabia, Renata [7 ]
Cancio, Lee [8 ]
Mohr, William [9 ,10 ,11 ]
Twomey, John [5 ]
Wagner, Anne [12 ]
Cochran, Amalia [2 ]
Bailey, J. Kevin [13 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA 02115 USA
[2] Ohio State Univ, Dept Surg, Columbus, OH 43210 USA
[3] Univ Iowa Hosp & Clin, Dept Surg, Iowa City, IA 52242 USA
[4] Harvard Med Sch, Shriners Hosp Children, Massachusetts Gen Hosp, Dept Surg, Boston, MA 02115 USA
[5] Hennepin Cty Med Ctr, Dept Surg, Minneapolis, MN 55415 USA
[6] Univ Missouri, Sch Med, Dept Surg, Columbia, MO USA
[7] Nationwide Children Hosp, Dept Pediat Surg, Columbus, OH USA
[8] US Army Inst Surg Res, Ft Sam Houston, TX USA
[9] Reg Hosp, Burn Ctr, St Paul, MN USA
[10] Reg Hosp, Dept Trauma & Gen Surg, St Paul, MN USA
[11] Univ Minnesota, Dept Surg, Box 242 UMHC, Minneapolis, MN 55455 USA
[12] Univ Colorado, Sch Med, Dept Surg, Aurora, CO USA
[13] Wake Forest Univ, Bowman Gray Sch Med, Dept Surg, Med Ctr Blvd, Winston Salem, NC 27103 USA
关键词
TISSUE-PLASMINOGEN ACTIVATOR; INTRAARTERIAL THROMBOLYSIS; MANAGEMENT; AMPUTATION; REPLANTATION; EXTREMITIES; INJURY;
D O I
10.1093/jbcr/irz148
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The data are insufficient to support standardized treatment of all patients with frostbite with thrombolytic therapy. The following guidelines, however, should be applied to all patients with cyanosis persisting proximal to the distal phalanx (Grade 3 or 4 frostbite injury) and demonstrated loss of perfusion at or proximal to the middle phalanx immediately after rewarming.
引用
收藏
页码:176 / 183
页数:8
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