CAJ | 학술논문

目的探讨海水浸泡后旋转撕脱性断指再植促成活护理措施.方法我院共收治8例(16指)海水浸泡后旋转撕脱性断指患者,多指离断采用同步法再植5例,其他3例采用传统方法再植.术中运用彻底清创,高质量的血管吻合,术后高压氧治疗及综合抗凝措施进行救治.结果 16个再植手指中成活15指,总成活率为93.75％.术后随访3个月～2年,总优良率为87.5％.无伤口感染及骨折不愈合病例发生.手指外形满意,感觉恢复良好,两点辨别觉3～6 mm.结论海水浸泡后旋转撕脱性断指伤情复杂,再植难度大,但是只要根据实际情况,采取个体化综合应对措施,再植指体完全可以成活.
목적 탐토해수침포후선전시탈성단지재식촉성활호리조시.방법 아원공수치8례(16지)해수침포후선전시탈성단지환자,다지리단채용동보법재식5례,기타3례채용전통방법재식.술중운용철저청창,고질량적혈관문합,술후고압양치료급종합항응조시진행구치.결과 16개재식수지중성활15지,총성활솔위93.75％.술후수방3개월～2년,총우량솔위87.5％.무상구감염급골절불유합병례발생.수지외형만의,감각회복량호,량점변별각3～6 mm.결론 해수침포후선전시탈성단지상정복잡,재식난도대,단시지요근거실제정황,채취개체화종합응대조시,재식지체완전가이성활.
Objective To investigate the nursing of replantation methods of sea-water soaked rotated avulsion amputated fingers.Methods There were 8 cases (16 fingers) with sea-water soaked rotated avulsion amputated fingers.5 cases were replanted by synchronic replantation method,the other 3 cases were replanted by traditional replantation method.We adopted complete debridement and high quality vascular anastomosis during the operation,and give hyperbaric oxygen therapy and anticoagulant treatment post-operation.Results There were 15 survival fingers in 16 replanted fingers.The survival rate was 93.75％.After follow-up for three months to two years,the total good rate was 87.5％.No wound infection and nonunion of fracture occurred.The outline of the fingers was satisfying and patients felt well.The twopoint discrimination was 3～6 mm after 3～24 months follow-up.Conclusions The injury of sea-water soaked rotated avulsion amputated fingers is complicated and the replantation operation is difficult.but if we can adopt individual measure according to the actual circumstance,it is possible that the sea-water soaked rotated avulsion amputated fingers can survive.