摘要
本文报告６例受海水浸泡在８ｍｉｎ以内的绞轧撕脱性断肢再植经验。伤者全为青壮年男性渔民，均是在海上捕捞作业时小腿或踝部被拖网的缆绳绞轧撕脱伤，并在受伤的瞬间破拉坠海，再植术中采用扩大清创法进行清创。被修复的血管缺损超过１．５ｃｍ者则行自体静脉游离移植，５例再植成功。随访时间４～４ｌ个月。再植肢体功能恢复１级１例，ＩＩ级２例，ＩＩＩ级２例。
rom Oetoher 1989 to July 1 993, six young and
heaIthy fishermen with their lower leg or ankle avulSiVely amputated after being tackled
and,trangulated by net rope were dragged into the sea at the moment of the accident for a
duration of 1 to 8minutes,The brine soaked broken limbs were replanted。after extensLive
debridement. Autogenous saphenous vein graft was required for the repair of more thcqn 1.5cm
in length arterial defect in 3 cases。Untoward locdwl wound reaction occurredin 3 pdMtients
who had been in the tqeafor more than 2 minutes。Five cases were successhlly replanted but
one case failed of tissue necrosis.The limb function recovery at 4 to 41 months follow-up
exami- nation was Grcqde I in 1 case, Grade II in 2 cases and CTrade III in 2 cases。
关键词
海水浸泡
断肢再植
Limb ,replantation Seawater-soak
