Lee J W, Pan S C, Lin Y T, Chiu H Y
Division of Plastic Surgery, Department of Surgery, National Cheng-Kung University Hospital, Tainan, Taiwan.
Br J Plast Surg. 2002 Jul;55(5):438-40. doi: 10.1054/bjps.2002.3858.
A 40-year-old male motorcyclist suffered a near-total amputation of his right foot. His limb was successfully salvaged with the aid of a cross-leg vascular shunt. Temporary arterial flow from the contralateral limb was transmitted via a pressure monitor tube to perfuse the avulsed part. This allowed the surgeon to carry out unhurried wound debridement, dissection of vital structures and skeletal fixation. The cannulation port was placed well distal to the proposed definitive anas<$>tomosis, to reduce damage to the endothelium. This procedure could be a valuable adjunct in major limb replantation, particularly in cases of prolonged ischaemia.
一名40岁男性摩托车手右脚几乎完全离断。借助交叉腿血管分流术，其肢体得以成功挽救。来自对侧肢体的临时动脉血流通过压力监测管传输，以灌注撕脱部位。这使外科医生能够从容地进行伤口清创、重要结构的解剖和骨骼固定。插管端口置于拟行确定性吻合口的远侧，以减少对内皮的损伤。该手术在肢体再植中可能是一项有价值的辅助手段，尤其是在缺血时间较长的情况下。
