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目的:通过报道一例少见的冻伤致感染性休克的病例,总结分析冻伤致感染性休克的诊治方法。方法:患者因双足冻伤15天入院,入院后根据症状、体征及辅助检查诊断患者合并感染性休克,予局部清创及抗感染治疗。结果:经我院治疗后,患者循环稳定,双足术区新生肉芽组织生长,远端血运、皮温、感觉正常。进一步转江西省行双足皮瓣移植术。结论:冻伤合并感染性休克经积极清创及抗感染治疗,能够取得良好的治疗效果。
Objective: To report a case of septic shock caused by rare frostbite, and to summarize and analyze the diagnosis and treatment of septic shock caused by frostbite. Methods: Patients were admitted to hospital for bipedal frostbite 15 days after admission. According to the symptoms, signs and auxiliary examinations, the patients were diagnosed as septic shock with partial debridement and anti-infective treatment. Results: After treatment in our hospital, patients with stable circulation, bipedal area of new granulation tissue growth, distal blood supply, skin temperature, feeling normal. Further to Jiangxi province line bipedal flap transplantation. Conclusion: Frostbite combined with septic shock through active debridement and anti-infective therapy can achieve good therapeutic effect.