最近审阅: 30 十月 2020
最近更新: 03 七月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 受累肢体寒冷或麻木
  • 复温期间感到疼痛
  • 紫色皮肤变色
  • 白色或黄色皮肤斑块
  • 浅表皮肤起水疱
  • 深紫色水疱
  • 组织坏死和干化(干性坏疽)

其他诊断因素

  • 红斑
  • 关节脱位
  • 骨折

危险因素

  • 寒冷暴露
  • 既往冻伤
  • 血管功能不全
  • 高海拔
  • 缺氧
  • 酒精
  • 烟草
  • 脱水
  • 四肢外伤
  • 紧缩性服装或设备

诊断性检查

需考虑的检查

  • 锝-99 高锝酸盐闪烁显像检查
  • 受伤肢体的磁共振血管造影
  • 平片影像扫描检查
更多 需考虑的检查

新兴检查

  • 热像图和双面图像
更多 新兴检查

治疗流程

急性处理

撰稿人

Attending Physician

Emergency Department

Medstar Southern Maryland Hospital Center

Sports Medicine Fellow

Georgetown University

Washington DC

利益声明

EAK declares that she has no competing interests.

Director of Research, Development and Innovation

University Hospital Coventry and Warwickshire NHS Trust

Warwick Medical School

Coventry

UK

利益声明

CI declares that he has no competing interests.

Professor

Division of Emergency Medicine

Department of Surgery

Stanford University School of Medicine

Palo Alto

CA

利益声明

PSA declares that he has no competing interests.

Professor Christopher Imray, Dr Paul S. Auerbach, and Dr Elizabeth A. Kaufman would like to gratefully acknowledge Dr Claire Turchi, a previous contributor to this topic. CT declares that she has no competing interests.

同行评议者展开全部内容

Medical Director

Yellowstone National Park

WY

Founder/Director

Everest Base Camp Medical Clinic

Nepal

利益声明

LF declares that she has no competing interests.

Clinical Assistant Professor of Surgery and Emergency Medicine

Associate Director Wilderness Medicine Fellowship

Assistant Research Director

Stanford University School of Medicine

Palo Alto

CA

利益声明

GSL declares that he has no competing interests.

Director

Institute for Altitude Medicine

Telluride

CO

利益声明

PH declares that he has no competing interests.

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