Cai J F
Jinan Military General Hospital.
Zhonghua Wai Ke Za Zhi. 1992 Jun;30(6):363-4, 383.
Replantation of a circularly severed palm, partially severed middle finger and completely severed ring and small fingers was done successfully in one patient. Two palmar arteries, 5 digital arteries, 3 dorsal palmar veins, 9 dorsal digital veins were anastomosed. Vein transplantation was carried out to repair the ulnar digital artery defect of the middle finger. Severe swelling after arterial thrombosis was noted on the 7th day and was eliminated by the use of urokinase. All the replanted parts survived with good functional results. Precise anastomosis, prevention and treatment of thrombosis, early exercises were essential to the survival of fingers and functional recovery of hand.
一名患者成功进行了环形离断手掌、部分离断中指以及完全离断环指和小指的再植手术。吻合了两条掌动脉、5条指动脉、3条掌背静脉、9条指背静脉。采用静脉移植修复中指尺侧指动脉缺损。术后第7天出现动脉血栓形成后的严重肿胀，使用尿激酶后肿胀消退。所有再植部位均存活，功能恢复良好。精确吻合、血栓的防治以及早期功能锻炼对于手指存活和手部功能恢复至关重要。
