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我院收治1例右手五指完全断离的患儿,经再植均获存活。患儿:男,11岁。右手五指被切木机切断,伤后3小时入院。检查:一般情况良好,右手五指完全断离,断离平面:拇指于指间关节,示指于近节中段,中、环、小指于近节基底,中、环、小指有指蹼相连。断端呈鱼口状,不规则,污染轻,远端指体完整,干燥保存。即在臂丛麻醉辅以基础麻醉下进行再植,对断指先行清创,再将其以无菌巾包好暂存4℃冰箱内,依次拇→示→中→环→小指再植。骨骼采用克氏针贯穿固定,改良 Kessler 方法修复
In our hospital, 1 case of children with completely broken off of right fingers and fingers were all survived after replantation. Children: male, 11 years old. The right hand five fingers cut wood machine, 3 hours after injury hospitalization. Check: The general condition is good, the right hand fingers completely off, off the plane: the thumb in the interphalangeal joint, showing the middle finger in the near section, the ring, the little finger in the proximal section of the base, the ring, the little finger webbed connected. Stump was fish-mouth, irregular, light pollution, distal finger body integrity, dry and save. That brachial plexus anesthesia supplemented with the basic anesthesia for replantation, broken finger first debridement, and then wrapped in sterile towel 4 ℃ refrigerator temporarily, followed by the thumb → show → → ring → little finger replantation. Kirschner wire through the bone through the fixed, modified Kessler method to repair