1案例资料1.1简要案情及临床经过王某,男,48岁。2012年10月12日被人咬伤左手背,当日未治疗,之后左手肿胀、并逐渐蔓延至左前臂,伴疼痛进行性加重。10月13日就诊查体:手指苍白,感觉明显减退,各指被动牵拉痛明显,左腕、左手活动受限,桡动脉搏动未触及;左手背中部1cm×0.6cm皮肤缺失,创面渗血,边缘不整齐,周围皮肤有少量水泡形成;左肘关节以下高度肿胀,质地硬韧,皮 1 case information 1.1 brief case and clinical after Wang, male, 48 years old. October 12, 2012 was bitten left hand back, the day untreated, left hand after swelling, and gradually spread to the left forearm, with progressive pain. October 13 Visits examination: pale fingers, feeling significantly reduced, each finger passive pull pain obvious, left wrist, left hand movement is limited, radial pulse did not touch; left middle of the left 1cm × 0.6cm skin loss, wound bleeding, Irregular edges, a small amount of blisters around the skin; the left elbow below the highly swollen, hard texture, skin