火车辗轧性截肢的病变特征及处理  

The Characters of Train—crush Amputation and Management

作　　者：高洪谦 孙明石 

机构地区：[1]哈尔滨铁路局中心医院骨科,哈尔滨150001

出　　处：《中华创伤杂志》1993年第2期103-104,共2页Chinese Journal of Trauma

摘　　要：1975年以来,我院骨科急诊手术抢救治疗火车辗轧性截肢425例,共518个肢体。其中并发创伤性失血性休克328例(77.2%)。合并颅脑损伤118例,胸部损伤9例,腹部及泌尿生殖器官损伤25例。抢救成功416例(97.8%),死亡9例(0.2%)。创口一期愈合461个肢体(89.9%),延期愈合或手术修正57例(1.1%)。作者分析了火车辗轧性截肢的病变特征及处理方法,对肢体修复的方式及应注意的问题进行了讨论。Since 1975, 425 patients of train—crush amputation (518 crush limbs) were operated. There were 328 cases complicated by hypovolemic shock (77. 2%), 118 cases with head injuries, 9 cases with chest injuries and 25 cases with abdomen—genitourinary organ injuries. Among them, 416 cases were treated successfully (97.8%), and 9 cases died (0.2%). Extremity injury in 461 patients (97.8%) healed by first intention and 57 cases (1.1%) by second intention or the second operation. The characteristics of pathological changes of train crush amputation, recent management, observing index and repairing of injured limbs are analyzed and discussed in detail in this article.

关 键 词：辗轧性 截肢 病变 处理 交通事故 

分 类 号：R642[医药卫生—外科学]