[Severe frostbites of the limbs. Apropos of 4 cases. A new approach of early prognosis].
The statistics of frostbites of the Chamonix Hospital surgical service include 1232 cases, 587 of them having been treated at the hospital. As regard four cases of severe frostbites having led to an amputation, the author reviews the complementary examinations that make possible an early prognosis. Among them, the bony scintigraphy must be privileged. It is nowadays a routine examination as it is technically easy and not difficult to interpret. Two spectroscopic examinations of living cells in NMR are reported, however no definitive conclusions could be reacted. A certain number of fundamental notions are assorted regarding the validity of the physiological mechanism what enables to reaffirm the three pillars of the treatment that must be often reduced to the simple limitation of the lesions. Two examinations show that in 1991, infection of frostbites can be always so redoutable.
Foray
J
J
Service de Chirurgie de l'hôpital Chamonix-Mont-Blanc.
D000328:Adult; D000671:Amputation, Surgical; D005534:Foot Diseases / Q000209:etiology* / Q000628:therapy; D005627:Frostbite / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D006225:Hand; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D011379:Prognosis; D013817:Thermography
Gelure grave des extrémités. A propos de quatre cas. Nouvelle approche du pronostic précoce.