Successful Treatment of Burn-Induced Digital Ischemic Ulcer with Stellate Ganglion Block: Case Report
Clinical Pain
; (2): 115-118, 2018.
Article
Dans Ko
| WPRIM
| ID: wpr-786707
Responsable en Bibliothèque :
WPRO
ABSTRACT
The Stellate ganglion block (SGB) could be used to treat sympathetic dependent circulatory insufficiency. We report a 36-year-old female patient with burn-induced refractory ischemic ulcer in distal phalanges. The patient admitted in department of plastic surgery for second degree burn wound in the right second through fifth fingertips. Continuous dressing treatment was conducted. However digital burn wounds were not healed but seems to be refractory. The upper extremity angiography revealed decreased perfusion and the fingertip wounds were diagnosed as ischemic ulcer. Despite of botulinum toxin injection into the perineural tissue and aspirin prescription, burn wounds showed ulcerative necrotic change. The SGBs were performed twice a week for 3 weeks to restore vasoconstriction of the upper extremity arteries. The follow-up angiography showed significant improvement of fingertip perfusion. Consequently, wounds were completely healed. In conclusion, SGB could be a rational option to overcome burn-induced digital ischemia refractory to other medical therapy.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Perfusion
/
Artères
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Ganglion cervicothoracique
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Chirurgie plastique
/
Bandages
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Ulcère
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Vasoconstriction
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Plaies et blessures
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Toxines botuliniques
/
Brûlures
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Adult
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Female
/
Humans
langue:
Ko
Texte intégral:
Clinical Pain
Année:
2018
Type:
Article