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Tratamiento complementario de la gangrena periférica simétrica con compresa húmeda de fenolamina
Yichao Zhu1, Tao Zhou, Haohao Qian
1Department of Critical Care Medicine, the Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Nanjing, China.
Medicine
|August 27, 2025
Resumen
La gangrena periférica simétrica (SPG) es una afección rara. Este caso destaca el desarrollo de SPG después del shock séptico y la coagulación intravascular diseminada (DIC), enfatizando la intervención temprana para mejores resultados.
Área de la Ciencia:
- Estudio de caso médico
- Medicina de cuidados intensivos
- Cirugía vascular
Sus antecedentes:
- La gangrena periférica simétrica (SPG) es una afección rara y grave que causa daño isquémico distal en múltiples sitios sin problemas de vasos grandes.
- SPG es una complicación potencialmente mortal que puede surgir de varias condiciones subyacentes.
Objetivo del estudio:
- Informar de un caso de gangrena periférica simétrica (SPG) en una mujer de edad avanzada tras un choque séptico y una coagulación intravascular diseminada (CID).
- Discutir el manejo y las implicaciones de SPG en el contexto de complicaciones postoperatorias críticas.
Principales métodos:
- Una mujer de 66 años desarrolló shock séptico y DIC postoperatoriamente.
- Se observó necrosis acral (gangrena) en ambos pies al décimo día de la admisión a la UCI.
- El tratamiento incluyó soporte de órganos, terapia anti-infecciosa y aplicación tópica de fentolamina.
Principales resultados:
- El paciente experimentó una fuga anastomática y una insuficiencia múltiple de órganos.
- Debido a la gravedad de las complicaciones, el paciente fue dado de alta del hospital.
Conclusiones:
- La prevención y la identificación temprana de los factores de riesgo son cruciales para la gestión del GSP.
- La corrección rápida de las condiciones subyacentes es vital para mejorar el pronóstico del paciente en casos de SPG.
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