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我院于1995年12月18日收治1例因酗酒左前臂被砍断后,从高处推下致左颞顶骨、骨盆骨折患者。经开颅探查,清除硬膜外血肿,断臂再植,骨盆悬吊牵引治疗,住院79天,术后随访患者半年,能作简单体力劳动,情绪、思维正常,断臂血液循环良好,触觉恢复,可行屈曲活动并有一定抓握功能,现报道如下。患者男,25岁,被砍断左前臂后从3米高处推下,伤后2小时入院。体检:昏迷,转送途中曾有清醒期,左侧瞳孔散大,对光反射消失,小便失禁,左前臂距肘关节约16cm处完全离断,断臂苍白,血流终止,尺桡骨缘整齐,有多处活动性出血,血压8/4kPa,X线示左颞顶部骨折,左骶髂关节骨折脱位,左耻骨下
In our hospital on December 18, 1995 admitted to a case of alcoholism due to left forearm was cut off, pushed from the top to the left temporomandibular fracture, pelvic fracture patients. After craniotomy exploration, removal of epidural hematoma, replantation of arm, pelvis suspension traction treatment, hospitalized for 79 days, postoperative follow-up of patients for six months, can be a simple manual labor, emotional, normal thinking, arm blood circulation is good, touch Recovery, viable flexion activities and have a certain grasp function, are reported below. Male, 25 years old, was pushed down from a height of 3 meters after being severed left forearm, and admitted to hospital after 2 hours injury. Physical examination: unconscious, transit had awake, the left mydriasis, light reflex disappeared, urinary incontinence, the left forearm from the elbow about 16cm at complete disconnection, broken arm pale, blood flow termination, radius and ulna edge neat, There are multiple active bleeding, blood pressure 8 / 4kPa, X-ray showed left temporal top fractures, left sacroiliac joint fracture dislocation, left subdural