肢体损毁伤的临床特点及处理59例分析  

Complications of Limb Destructive Injury and Failure of Limb Restoration

作　　者：陈斌[1,2] 王德就[1,2] 陈新[1,2] 李靖 

机构地区：[1]暨南大学医学院第一附属医院骨科 [2]湖南省靖州县人民医院骨科

出　　处：《暨南大学学报（自然科学与医学版）》1998年第2期49-52,共4页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：回顾性分析了５９例肢体损毁伤病人的临床特点及其治疗，结果表明所有病人皆为ＧｕｓｔｉｌｏⅢ型骨折，２０例（３４％）伴有休克、２１例（３５％）伴有多发性骨折、１０例（１７％）合并严重联合伤。１例因挤压综合症死亡，５１例因肢体不可修复的损毁伤行急诊截肢，７例因患肢感染或缺血而保肢失败，其中６例行非急诊截肢，１例出现无功能肢体。１５例（２４％）病人截肢术后因并发症而再次手术。Retrospective study of fifty-nine cases of destructive injury of limb were reported. All of them were Gustilo type-Ⅲopen fractures.This complex injury had high incident of concomitant shock(34%),multiple fractures (35%)and injury of other systems(17%).Most of them were treated by amputation ,including 6 cases of limbs reconstruction failure,of which the causes of failure were infection and ischemia. Most prominent copmlication after amputation was inadequate soft tissue coverage of the residual limbs.

关 键 词：肢体损毁伤 截肢 并发症 

分 类 号：R687.5[医药卫生—骨科学]