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患者王某,男,35岁,医师。因左拇指指间关节内侧小血管瘤3年余,于1989年3月4日,在某医院用5％鱼肝油酸钠3毫升+2％普鲁卡因2毫升作血管瘤内注射。注药后,立即出现手掌和多手指麻木,皮肤呈青紫色且范围逐渐扩大,继而拇、食、中指和环指末节皮肤呈黑色,指端感觉消失,手指疼痛明显。即给予10％葡萄糖500毫升,5％糖盐水500毫升、地塞米松10毫克、妥拉苏林25毫克、维生素C3克。丹参20毫升静滴。次日增用尿激酶2万单位、青霉素400万单位。手指仍持续性疼痛,坏死区近端皮肤肿胀明显,共有水泡形成,皮肤感觉迟钝。经上述药物治疗15天,
Patient Wang, male, 35 years old, physician. Due to the left thumb interphalangeal medial small hemangioma more than 3 years, on March 4, 1989, in a hospital with 5% sodium morrhuate 3 ml + 2% procaine 2 ml for intravascular injection. Immediately after injection, numbness of the hands and fingers was observed. The skin was bluish-purple and the area was gradually enlarged. Then the thumb, the middle finger and the ring finger showed black skin, the finger tip disappeared and the finger had obvious pain. That is, 500 ml of 10% glucose, 500 ml of 5% sugar and saline, 10 mg of dexamethasone, 25 mg of tolazulin and vitamin C3 g were given. Salvia 20 ml intravenous infusion. The next day with urokinase 20,000 units, 4 million units of penicillin. The finger is still persistent pain, necrosis near the skin swelling obvious, a total of blisters, the skin feel dull. After 15 days of treatment by the above drugs,