摘要
目的探讨50岁以上断指患者再植的术前准备及术中、术后处理。方法本组50岁以上断指患者再植23例28指,伴有高血压病4例,糖尿病1例,冠心病2例。术中尽量多吻合血管,术后给予抗炎、斛痉治疗及对全身疾病进行处理。结果近中节再植完全成活,6指末节离断者成活4指。术后出现尿路感染1例,末出现其他严重并发症。结论50岁以上断指患者再植,要注意掌握手术适应证,注意术中手术技巧,预防术后并发症的发生。
Objective To discuss preparation before operation and management during and after operation for traumatic finger replantation in the elder patients（≥50yr）.Methods Twenty eight amputated digits were replanted in 23 cases, in which 4 cases had concurrent disease of hypertension, 1 case of diabetes, 2 cases of coronary heart disease. As mr, el. vessels as possible were anastomosed during operation, while antibacterial and antispasm measures were prescripted and systemic diseases were treated at the same time.Results Digital replantation was completely survived at the level of middle and proximal phalange. Five fingers were survived at the level of distal interphalange to tip among 6 cases of digital replantation. All the patients had not complications except 1 case suffered from urinary infection after operation.Conclusion It is necessary to select appropriate eases and pay attention to operative skill during operation and eomplieations after operation when replantation of severed traumatic finger is done in the elder patients（≥50yr）.
出处
《实用医药杂志》
2006年第11期1311-1313,共3页
Practical Journal of Medicine & Pharmacy
关键词
断指再植
并发症
Traumatic finger replantation Complication
