PDF(Pubmed)
Abstract：
METHODS: A 41-year-old man removed a tungsten carbide ring from his left index finger by cutting it off with a high-speed metal burr. The patient presented two days later with a pink and perfused left index finger with circumferential dry gangrene along the area of the ring, active flexor and extensor tendon excursion, and decreased sensation distally. Within 24 hours, the wound developed into wet gangrene and diffuse cyanosis requiring amputation.
CONCLUSIONS: After reviewing previously documented methods to remove tungsten carbide rings, the authors conclude clinicians should be cognizant of the potential complications associated with the use of a high-speed metal burr.
CONCLUSIONS: After reviewing previously documented methods to remove tungsten carbide rings, the authors conclude clinicians should be cognizant of the potential complications associated with the use of a high-speed metal burr.
摘要：
方法：一名41岁的男子通过用高速金属毛刺将其切掉，从左手食指上取下了一个碳化钨戒指。两天后，患者出现粉红色和灌注的左食指，环区域周围有干性坏疽，活动屈伸肌腱偏移，远端感觉下降。24小时内,伤口发展为湿性坏疽和弥漫性紫癜，需要截肢。
结论：在回顾了以前记录的去除碳化钨环的方法之后，作者认为,临床医生应该认识到与使用高速金属毛刺相关的潜在并发症.
结论：在回顾了以前记录的去除碳化钨环的方法之后，作者认为,临床医生应该认识到与使用高速金属毛刺相关的潜在并发症.
