摘要
目的评价应用病人自控镇痛（patientcontrolledanalgesia，PCA）泵经指屈腱鞘内连续给药治疗断指再植术后血管痉挛的临床效果。方法对40例56指断指再植患者应用PCA泵将罂粟碱和利多卡N经腱鞘内注入血管吻合口周围，观察术后血管痉挛发生情况。结果再植40例56指全部成活，其中1例返回病房20min后发生血管痉挛，注入罂粟碱30min后缓解。结论利用PCA泵经指屈腱鞘在血管吻合口持续注入罂粟碱和利多卡因可有效地预防和治疗断指再植术后血管痉挛，疗效可靠。
Objective To evaluate the treatment outcome of PCA pump pouring medicine into tendinous sheaths of flexor muscles of fingers to prevent and treat blood vessel spasm after replanlation of amputated finger. Methods 56 reimplantation fingers of 40 cases were treated through PCA pump pouring papaverine and anestacon into tendinous sheaths of flexor muscles of fingers. Then the occurrence of postoperative artery spasm was observed. Results All 56 fingers of 40 cases survived. 1 patient presented with vasospasm after 20 minutes when returning to sickroom and the symptom was released after half an hour when injected papaverine. Conclusion PCA pump pouring papaverine and anestacon into tendinous sheaths of flexor muscles of fingers through the vascular stoma can effectually prevent and treat vascular spasm after replanlation of amputated finger, which demonstrated a satisfied curative effect.
出处
《实用手外科杂志》
2011年第2期118-120,共3页
Journal of Practical Hand Surgery
关键词
断指再植
痉挛
罂粟碱
利多卡因
Replanlation of amputated finger
Vessel spasm
Papaverine
Lidocain
