摘要
目的 :探讨咬伤所致断指的损伤特点、机制及修复方式。方法 :通过对 7例咬伤所致断指的再植 ,观察此类断指的损伤情况 ,同时回顾性分析此类断指的损伤特点、机制及再植情况。结果 :再植指全部成活 ,功能恢复良好。结论 :此类断指易感染 ,断面情况与旋转撕脱伤相似 ,为患指因被咬而反射性抽回时受到牵拉、牙齿切割、挤压或伴旋转的合力所致。再植成功的关键是彻底清创 ,断指组织重新组合与搭配 ,精细的血管吻合 ,及时处理血管危象和有效的抗感染措拖。
Objective:To probe into the mechanisms、characteristiscs and repairing method of bit finger. Method:Based on the replantation of seven finger amputations from bite, study the injury condition of this kind of finger, review and analyse the mechanisms、characteristiscs and replanting condition. Result:The injuried fingers was kept alive and recovered excellently. Conclusion:The finger amputations are easy to be infected, the circumstances of the section are similar to those of rotational avulsed finger, the injury is caused by the forces of pulling 、the teeth cutting、 pressing or roll when the fingers is being bitten and pulling back in reflex . Debridement、pairing the tissue of the amputations、 anastomosis of small blood vessels、dealing with crises of the small blood vessels and defending the infection are important.
出处
《河北医学》
CAS
2004年第9期772-773,共2页
Hebei Medicine
关键词
咬伤
指损伤
再植术
Bite
Finger injury
Replantation
