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患者,女,20岁。主因左下肢坏死50天而入院。入院前50天睡于煤火取暖的房间,被他人发现意识不清而被抬到室外通风处,除头面部外,均裹以棉被保暖,约4小时后神志完全恢复。2天后左小腿背侧及足跟部出现红斑,继而出现水泡、渗液。约10余日后局部皮肤由苍白逐渐变黑,且范围有所扩大而就诊。查体:发现左下肢小腿背外侧15cm×15cm 皮肤坏死,形成焦痂,界线清楚,痂下少量积液。左足跟部4cm×4cm 皮肤坏死、焦痂。诊断:左小腿及足跟局
Patient, female, 20 years old. The main left lower extremity necrosis 50 days and admitted to hospital. 50 days before admission to sleep in coal-fired heating room was found unconsciously others were carried to the outdoor ventilation, except the head and face, were wrapped in quilts warm, about 4 hours after the full recovery of consciousness. 2 days after the left leg and heel heel erythema, followed by blisters, exudate. About 10 days after the local skin gradually pale from pale, and the scope has been expanded and treatment. Physical examination: The left lower extremity calf revealed 15cm × 15cm skin necrosis, the formation of eschar, clear line, a small amount of effusion under the scab. Left heel 4cm × 4cm skin necrosis, eschar. Diagnosis: Left leg and heel