지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 510 - 516 (7page)
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초록· 키워드
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Background This paper discusses the treatment protocol for patients with frostbite. Methods We performed a retrospective analysis of a series of 17 patients with second- and higher-degree frostbite who had been treated at our medical institution between 2010 and 2012. Results Our clinical series of patients (n=17) included 13 men and four women, whose mean age was $42.4{\pm}11.6$ years (range, 22-67 years). The sites of injury include the foot in six patients (35.3%), the hand in six patients (35.3%) and the facial region in five patients (29.4%). Seven patients with second-degree frostbite were completely cured with only conservative treatment during a mean period of $12.7{\pm}3.3$ days (range, 8-16 days). Of the five patients with third-degree frostbite, two underwent skin grafting following debridement, and the remaining three achieved a complete cure with conservative treatment during a mean period of $35{\pm}4.3$ days (range, 29-39 days). Five patients with fourth-degree frostbite were treated with surgical procedures including amputation. Conclusions With the appropriate conservative management in the early stage of onset, surgeons should decide on surgery after waiting for a sufficient period of time until the demarcation of the wound. Continuous management of patients is also needed to achieve functional recovery after a complete cure has been achieved. This should also be accompanied by patient education for the avoidance of re-exposure to cold environments.
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참고문헌 (14)
참고문헌 신청
Imray C / 2009 / Cold damage to the extremities: frostbite and non-freezing cold injuries / Postgrad Med J 85:481~488
Murphy JV / 2000 / Frostbite: pathogenesis and treatment / J Trauma 48:171~178
Grieve AW / 2011 / A clinical review of the management of frostbite / J R Army Med Corps 157:73~78
Mills WJ / 1964 / Clinical aspects of frostbite injury / Proceedings of the symposium on arctic biology and medicine: IV, frostbite
Goertz O / 2011 / Intravital pathophysiologic comparison of frostbite and burn injury in a murine model / J Surg Res 167:e395~e401
Murphy JV / 2000 / Frostbite: pathogenesis and treatment / J Trauma 48:171~178
Grieve AW / 2011 / A clinical review of the management of frostbite / J R Army Med Corps 157:73~78
Mills WJ / 1964 / Clinical aspects of frostbite injury / Proceedings of the symposium on arctic biology and medicine: IV, frostbite
Goertz O / 2011 / Intravital pathophysiologic comparison of frostbite and burn injury in a murine model / J Surg Res 167:e395~e401
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