用于手部手术的前臂远端止血带。
Distal forearm tourniquet for hand surgery.
作者信息
Delgado-Martinez Alberto D, Marchal J M, Blanco F, Molina M, Palma A
机构信息
Hospital Universitario Neurotraumatológico, Complejo Hospitalario de Jaén, Universidad de Jaén, Ed. B-3, 23071 Jaen, Spain.
出版信息
Int Orthop. 2004 Oct;28(5):267-9. doi: 10.1007/s00264-004-0582-x. Epub 2004 Jul 24.
To evaluate the usefulness of the tourniquet placed at the distal forearm, 30 patients were operated with the tourniquet set at the distal forearm using nerve-block anaesthesia. Pain during surgery, flexion of the fingers, bloodless field, and general complications during surgery and 18 months thereafter were recorded. The mean time of ischemia was 19.6+/-7.5 (10-50) min. A bloodless field was achieved in all cases, and pain during operation was low. Flexion of the fingers were found in most cases but was reducible and not annoying for the surgeon. There were no serious complications during surgery or at follow-up. The tourniquet placed at the distal forearm is painless, safe, and useful in hand surgery.
为评估置于前臂远端的止血带的效用，对30例患者使用神经阻滞麻醉，将止血带置于前臂远端进行手术。记录手术过程中的疼痛、手指屈曲情况、术野无血情况以及手术期间和此后18个月的一般并发症。平均缺血时间为19.6±7.5（10 - 50）分钟。所有病例均实现了术野无血，且手术期间疼痛程度较低。大多数病例出现了手指屈曲情况，但可恢复，对外科医生来说并不困扰。手术期间及随访时均未出现严重并发症。置于前臂远端的止血带在手部手术中无痛、安全且有效。
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