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断指再植中的“无复流”现象

No-reflow Phenomenon in Reimplantation of Amputated Fingers

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【作者】 宋修军张宁埠

【Author】 Department of Orthopedics, Qingdao Municipal Hospital, Medical College of Qingdao University (266011)) Song Xiujun, et al.

【机构】 青岛大学医学院附属青岛市立医院骨科青岛大学医学院附属青岛市立医院骨科 (266011)(266011)

【摘要】 目的:探讨断指再植中的“无复流”现象及对策.方法:分析两例断指再植出现“无复流”现象病例并复习相关文献.结果:两例4指分别于再植术后72小时及30小时丧失血运或放弃再植而改行其它术式.结论:断指再植存在“元复流”现象.尽管断指再植技术提高,仍应强调尽快重建血运、冷藏断指、及时有效地处理血管危象之重要.一旦“无复流”现象不可避免地发生,宜果断放弃再植改行其它术式.

【Abstract】 Objective: To probe into the no-reflow phenomenon during reimplantation of amputation fingers. Methods: 2 cases of reimplantation failure with no-reflow phenomenon were reported and reviewed. Results: Four fingers in 2 cases lost blood supply and gave up reimplantation 72 and 30 hours after operation respectively. Conclusions: No-reflow phenomenon exist during reimplantation of amputated fingers. Though reimplantation skill is in a higher level, it is still very important to restore blood supply, put the amputated fingers in a 4 chamber and deal with the vascular crisis. If no-reflow phenomenon occur inevitably, it should be wise to stop reimplantation or change the operation with no delay.

  • 【文献出处】 伤残医学杂志 ,Medical Journal of Trauma and Disability , 编辑部邮箱 ,2002年01期
  • 【分类号】R658.1
  • 【被引频次】1
  • 【下载频次】34
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