Ofiaeli R O
College of Health Sciences, Anambra State University of Technology, Nnewi, Nigeria.
Trop Doct. 1991 Oct;21(4):182-3. doi: 10.1177/004947559102100419.
Three fracture cases treated by immobilization with bamboo sticks by traditional bone setters ended up with amputation in a rural hospital, two for gangrene and the third for diaphyseal sequestration. Venous occlusion, followed by interruption of arterial blood supply and immobilization in a dependent position are responsible for the gangrene. Overwhelming sepsis accounted for diaphyseal sequestration in the third patient. These cases illustrate the need for more emphasis to be placed on primary surgical care, centred on rural hospitals, in the developing world.
在一家乡村医院里，三名由传统接骨师用竹棍固定治疗的骨折患者最终都接受了截肢手术，其中两人因坏疽，第三人因骨干骨分离。静脉阻塞，随后动脉血液供应中断以及在下垂位置固定是导致坏疽的原因。严重脓毒症导致了第三名患者的骨干骨分离。这些病例表明，在发展中国家，需要更加重视以乡村医院为中心的初级外科护理。
