上肢皮肤撕脱伤急诊处理的探讨  

Emergency treatment for avulsion of upper extremities

作　　者：邹正荣[1] 王效柱[1] 刘维刚 史晨辉[1] 李刚[1] 

机构地区：[1]新疆石河子医学院第一附属医院骨科

出　　处：《中华手外科杂志》1995年第2期105-107,共3页Chinese Journal of Hand Surgery

摘　　要：自１９８７年以来共收治上肢大面积皮肤撕脱合并深层组织损伤２２例。根据伤情分别应用油纱布包扎延期修复、撕脱皮肤清创原位缝合、脱套的皮肤修薄后再植及带血管蒂皮瓣转移四种方法治疗。６个月后随访，其外形及功能恢复有明显差异。我们认为其结果优劣，与损伤程度和修复方法选择有密切关系，并强调术中要重视深部重要组织的修复，尤其是神经组织。讨论了四种方法的选择，提出了四种方法的可取性，存在问题和努力方向．Abstract Twenty-two emergency cases of extensive avulsion of the upper limbs with deep tissue injury have been treated since 1987. According to different couditions, four approaches of treatment were employed, including delay repair, suture back, thinned skin graft suture back and vascular pedicled skin flap transfer. Follow-up visit after six months revealed marked differences in contouring and functional restoration.The applicability of the four approaches is discussed.

关 键 词：皮肤移植 上肢皮肤撕脱伤 急诊 处理 

分 类 号：R658.2[医药卫生—外科学] R622[医药卫生—临床医学]