"Trench foot" caused by the cold.
"Trench foot" caused by the cold.
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寒冷引起的“战壕足”。
DOI：
10.1136/bmj.1.6160.414-b
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发表时间：
1979
影响因子：
--
通讯作者：
J. Loftus
中科院分区：
文献类型：
--
作者：
I. Fraser;J. Loftus
先生，-关于那封信（3月3日，第622页）从保罗马库斯博士，我们已经阅读了它的兴趣，他确实提出了一些有效的观点，特别是在风寒因素方面，这无疑是我们在信中描述的伤害的重要性（2月10日，第414页）当我们的病例在最初的伤害发生大约六天后才提出时，很难决定它是否是冻伤;但总的来说，由于循环障碍的区域相当分散，界限不清，除了提到的两个小水泡外，没有组织坏死，我们认为这是一个”暴露足”的病例，这可能是一个比战壕或浸泡足更好的标题。有趣的是，一些四个月后，最初的伤害，仍然是一个缓慢的毛细血管反应的上表面的受影响的脚从2 - 5厘米近端的指蹼，并减少足背脉搏。没有任何感觉丧失或其他神经系统受累的证据。病人自己并不知道两只脚有什么不同，只是到了晚上，受影响的脚仍然有点“浮肿”。总的来说，我们认为我们最初的诊断是正确的，尽管我们不能确定。
SIR,-With reference to the letter (3 March, p 622) from Dr Paul Marcus, we have read it with interest and he does make some valid points, particularly in respect of the wind chill factor, which was without doubt of significance in the injury we described in our letter (10 February, p 414).It was difficult to decide, when our case presented some six days after the initial injury, whether it was or was not one of frostbite; but on balance, because of the rather diffuse and ill-defined area of circulatory disturbanceand the lack of tissue necrosis other than the two small blisters referred to, we considered that it was a case of" exposure foot," which might be a better title than trench or immersion foot. Interestingly, some four months after the initial injury, there is still a sluggish capillary response of the upper surface of the affected foot from 2 5 cm proximal to the digital webs, and a reduction in the dorsalis pedis pulse on that foot. There is no evidence of any sensory loss or other neurological involvement. The patient himself is unaware of any difference in the two feet, other than that the affected foot still gets a little" puffy" by evening. On balance we think our original diagnosis was correct, although we cannotbe certain.