高××,男,57岁,社员,1978年5月6日初诊,门诊号0885565。主诉:右手肿痛10日,高热一周。十天前,患者因干活不慎,碰伤右手中指,当时未加治疗。次日撒粪种红薯,污染伤口,第三天伤指肿痛,蔓延至整个手掌。患者先到公社医院就诊(用药不详),但伤指肿痛有增无减,后又经县医院肌注青霉素、链霉素,病情亦未能控制。肿痛扩散至肘关节处,手指手背相继成脓破溃,伴高热寒战,心烦欲吐。5月4日经某医院诊为手部严重感染,疑并发败血症,并认为中指难以保住。5月6日患者前来我科就诊。症见急性病容,痛苦表情,消瘦,呼吸急促,面 Gao X, male, 57 years old, member, newly diagnosed on May 6, 1978, outpatient number 0885565. Chief complaint: Right hand swelling and pain on the 10th, high fever for a week. Ten days ago, the patient accidentally injured his right middle finger and was not treated at that time. The next day, the manure was used to spread sweet potatoes, contaminate the wounds, and on the third day, the fingers hurt and spread to the entire palm. The patient first came to the commune hospital for treatment (the medication was unknown), but the swelling and pain of the injured finger increased. Afterwards, penicillin and streptomycin were intramuscularly injected through the county hospital and the condition was not controlled. Swelling pain spread to the elbow joint, the fingers back into pus after one another, with high fever chills, upset vomiting. May 4 was diagnosed as a serious infection in the hand of a certain hospital. Suspected of sepsis, and that the middle finger is difficult to keep. On May 6, the patient came to our department. Zheng Jian acute disease, painful expression, weight loss, shortness of breath, facial