有瘀斑断指的临床特点及其再植

doi:10.3760/cma.j.issn.1005-054X.1993.04.108

科研成果详情

题名	有瘀斑断指的临床特点及其再植
其他题名	The Clinical Peculiarities and the Replantation of Amputated Digits with Patcehial Hemorrhage
作者	高伟阳; 厉智; 黄佳温; 廖孔荣
发表日期	1993
发表期刊	中华手外科杂志影响因子和分区
语种	中文
原始文献类型	Periodical
关键词	断指再植瘀斑
摘要	1985.6~1991.8共再植有瘀斑断指17例25指，成活20指，成活率80%。有瘀斑断指都为钝性暴力损伤，断端损伤较重。离体指常见的特殊体征有： "红线" 征，指背瘀斑，指尖出血点及指甲青紫等。断面血管外观差，脆，易拉破，常可见内膜漂浮现象，静脉及毛细血管床的损伤比动脉干严重，讨论了产生这种现象的机理，认为动脉主干的完整和静脉的迷路回流是再植成活的基础。介绍了再植要点，认为对断拇，多指断指，小儿断指等应争取再植。
其他摘要	From June 1985 to August 1991, we had replanted 25 fingers with patchial hemorrage in 17 patients, of which 20 fingers survived. The survival rate reached 80%. All fingers were blunt crushed amputation. The distal ends were severly injuried with specific signs including "red streak" sign, patchial hemorrhage, hemorrhagic spots and subungual hemotoma. The vessels of amputated parts were bruised and likely to be lacerated. The floating intima were found under the operating microscope. The injury of the vein and capilary bed were considered more severe than that of artery. The mechanism of injury and cautions during surgery were discussed. We think that the intact artery and vein labyrinth out-flow is the basis for success. Replantation should be attempt in thumb, multiple digits and in children.
ISSN	1005-054X
卷号	09 期号:4 页码:205-207
DOI	10.3760/cma.j.issn.1005-054X.1993.04.108
页数	3
收录类别	万方 ; PKU ; 北大核心 ; ISTIC
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/140925
专题	附属第二医院_手外科
作者单位	温州医学院附属二院手外科，325003
第一作者单位	附属第二医院_手外科
第一作者的第一单位	附属第二医院_手外科
推荐引用方式 GB/T 7714	高伟阳,厉智,黄佳温,等. 有瘀斑断指的临床特点及其再植[J]. 中华手外科杂志,1993,09(4):205-207.
APA	高伟阳, 厉智, 黄佳温, & 廖孔荣. (1993). 有瘀斑断指的临床特点及其再植. 中华手外科杂志, 09(4), 205-207.
MLA	高伟阳,et al."有瘀斑断指的临床特点及其再植".中华手外科杂志 09.4(1993):205-207.