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題 名 | Digital Replantation without Venous Anastomosis=無靜脈修補下斷指重接 |
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作 者 | 黃介琦; 戴浩志; 洪學義; 陳明庭; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 8:4 1999.12[民88.12] |
頁 次 | 頁308-315 |
分類號 | 416.615 |
關鍵詞 | 無靜脈修補; 斷指重接; Digital replantation without venous repair; Heparinization; |
語 文 | 英文(English) |
中文摘要 | 遠端指節斷指,由於無法獲得適當大小的靜脈的來吻合,有時是非常困難重接。在1999年間,我們使用無靜脈修補下斷指重接,用於三例遠端指節斷指的患者,斷指均位於遠端指關節的遠端處。使用單一指動脈修補,用以重新血液循環。我們使用肝素,前列腺素E�絰P指腹處缺口,用來模仿水蛭配方,以達成近似的成功率。靜脈給予肝素,用以防止血管栓塞,同時保持PTT在一倍半至兩位間。前列腺素E�絰P右旋糖靜脈滴注五天。指腹處缺口可作為靜脈血流出口。並沒有使用指甲拔除併局部肝素浸潤,或者使用水蛭。濃縮血紅素輸注二至四單位(平均三單位),用以補充血液流失。所有重接斷指均存活。術後追蹤手指功能和美觀,均令人滿意。所以使用無靜脈修補下遠端斷指重接,加上一些修改,可達成可靠的成功率。 |
英文摘要 | Distal digital replantation is sometimes very difficult to perform due to the unavailability of the adequate size of veins for venous anastomosis. We reported three cases of the distal digital replantation in the absence of venous repair in 1999. The amputation level was all located distal to the DIP joint. Single digital artery repair was performed for revascularization. We simulates the leech formula with the usage of the heparin, prostaglandin E�琦nd volar wound gap to achieve the similar success rate of salvage. Systemic heparinization was given for the prevention of vascular thrombosis and the partial thromboplastin time was kept between 1.5 time and 2 times of the normal control data. Prostaglandin E�琦nd dextran were used for 5 days. The gap of the volar wound was used for the venous outflow drainage. No nail extraction, topical heparin soak or leech was used. Packed red blood cells were transfused from 2 to 4 units in total (average 3.0 units) for the blood loss from the volar wound. The replanted digits survived completely. The functional and cosmetic results of the distal replantation were highly satisfactory. The distal digital replantation without the venous repair could achieve a reliable success rate after some modifications were performed. |
本系統中英文摘要資訊取自各篇刊載內容。