手指闭合性动脉损伤30例患者的诊治分析  

The finger diagnosis and treatment of closedness artery damage dangerous elephant

作　　者：方均强[1] 廖坚文[1] 张振伟[1] 古婕[1] 刘燕清[1] 

机构地区：[1]深圳市沙井人民医院手外科深圳市手外科中心,广东省深圳518104

出　　处：《中国基层医药》2006年第5期766-767,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省深圳市宝安区科学技术局科技计划项目(2001-095)

摘　　要：目的探讨手指闭合性动脉损伤的诊断和治疗.方法对30例36指闭合性动脉损伤患者的临床表现和治疗方法进行总结.先用罂粟碱30～60 mg进行指根封闭,如有不可逆转的循环障碍表现则立即行手术探查.结果26例30指手术治疗伤指血运良好,功能恢复.4例6指放弃手术治疗后伤指部分坏死而行截指术.结论对手指闭合性动脉损伤危象患者应先解除诱发血管痉挛的因素,伤指缺血症状未见缓解应立即手术治疗,病变血管切除吻合或小静脉移植为首选治疗方法.Objective To explore the finger closed artery damage crisis the diagnosis and the treatment. Methods The clinical manifestation and the method of treatment of 30 examples 36 figure of closed arteries were summarized. Results 26 examples 30 figure of surgeries treatments wound showed the blood circulation good function restoration. After 4 examples 6 figure gave up surgeries treat, the wound showed the partial necroses and were operated amputation. Conclusion The finger closed artery damage crisis should remove the factor of inducing the vasospasm. The surgery treatment should be immediately done if the symptom of ischernia doesn＇ t improve. The pathological changes blood vessel excision tallies or the venula transplant is the first-chosen method of treatment.

关 键 词：手损伤 血管外科手术 

分 类 号：R658[医药卫生—外科学]