In a.radialis after its puncture with a fine needle jet slowly injected 0.5% p-p
Novocaine (anesthesia, the sympathetic beta-blockade of arteries and arterioles) and then
antispasmodics (papaverine) and disaggregants (trental, etc.). The results were very
good: Frozen solid fingers, sometimes with a touch of frost
" on the tip " bought
initially normal, and then bright red, to restore their mobility.
Somewhat later gradually returned sensitivity (via the stage
hyperesthesia), there is a massive desquamation of the epidermis, in cases of severe
frostbite often went nails that were later fully or partially
restored. But, and most importantly, as a asle, remained
functional cysts through maintaining the deep stasctures of the hand and fingers:
vessels, nerves, tendons, bones and joints, thus avoiding the inevitable
mutilation necrectomy.
Unfortunately, the initiative at that time (1980-82) has not received distribution due to
sufficient technical complexity and delicacy of the procedure and the lack of
good syringes and needles Coal Mining. After my transition from the trauma of
surgery revealed that the method of intra-(B / A) administration
antibiotics can be successfully used in the treatment of felon,
particularly severe forms of: bone, pandaktilita. Usually the radial artery of 2
up to 5 times I injected with an insulin syringe, 1 ml p-pa lincomycin. In
some cases, already a day after the first injections are clearly identified
demarcation line and the subsequent (of course, after opening the abscess)
departed tapered area of necrosis, which contains not only the skin and
fiber, but often a fragment of bone an block. Best results
observed in the localization process in I and II thumb. In total, this
way, I have personally treated about a hundred patients (more statistics I
not led, as is now very much regret) for puaslent process has always been
abortive, amputation was not a single, even in quite advanced cases. From
this technique, I never did a secret, so some doctors (who would), it
successfully mastered the hospital