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术后早期寒冷暴露对再植手指血液循环的影响。

Effects of cold exposure on the circulation of replanted fingers during the early postoperative period.

作者信息

Nyström A, Backman C, Backman C

机构信息

Department of Hand Surgery, University of Hospital of Umeå, Sweden.

出版信息

J Hand Surg Am. 1991 Nov;16(6):1041-5. doi: 10.1016/s0363-5023(10)80066-8.

DOI:10.1016/s0363-5023(10)80066-8
PMID:1748749
Abstract

The replanted finger after a complete amputation is an excellent model for the study of many aspects of vascular physiology. In the present clinical study, 10 patients were investigated to evaluate the incidence of cold-induced vasospasm in replanted digits during the early postoperative period. The results indicate that cold-induced vasospasm is not a risk factor in the early postoperative phase after digital-replantation surgery. It is concluded that cold-induced spasm of the digital arteries is primarily a central, nerve-mediated reflex.

摘要

完全离断再植后的手指是研究血管生理学诸多方面的极佳模型。在本临床研究中,对10例患者进行了调查,以评估术后早期再植手指中冷诱导血管痉挛的发生率。结果表明,冷诱导血管痉挛不是断指再植术后早期的危险因素。得出的结论是,指动脉的冷诱导痉挛主要是一种中枢性、神经介导的反射。

相似文献

1
Effects of cold exposure on the circulation of replanted fingers during the early postoperative period.术后早期寒冷暴露对再植手指血液循环的影响。
J Hand Surg Am. 1991 Nov;16(6):1041-5. doi: 10.1016/s0363-5023(10)80066-8.
2
Cold-induced arterial spasm after digital amputation.手指截肢后寒冷诱发的动脉痉挛。
J Hand Surg Br. 1991 Nov;16(4):378-81. doi: 10.1016/0266-7681(91)90006-a.
3
Arterial spasticity and cold intolerance in relation to time after digital replantation.断指再植术后动脉痉挛与不耐寒情况与时间的关系。
J Hand Surg Br. 1993 Oct;18(5):551-5. doi: 10.1016/0266-7681(93)90002-w.
4
Macro- and microcirculatory assessment of cold sensitivity after traumatic finger amputation and microsurgical replantation.创伤性手指离断与显微外科再植术后冷敏感性的宏观与微循环评估
Arch Orthop Trauma Surg. 2007 Jul;127(5):355-60. doi: 10.1007/s00402-007-0287-x. Epub 2007 Jan 20.
5
Cold-induced vasospasm after digital replantation does not improve with time. A 12-year prospective study.断指再植后冷诱导血管痉挛不会随时间改善。一项为期12年的前瞻性研究。
J Hand Surg Br. 1995 Apr;20(2):237-9. doi: 10.1016/s0266-7681(05)80059-2.
6
Cold intolerance is not more common or disabling after digital replantation than after other treatment of compound digital injuries.与复合性手指损伤的其他治疗方法相比,断指再植后出现不耐寒的情况并不更常见或更严重。
Ann Plast Surg. 1998 Mar;40(3):256-9. doi: 10.1097/00000637-199803000-00010.
7
Correlation of volumetric flow rate and skin blood flow with cold intolerance in digital replantation.断指再植中体积流量和皮肤血流与冷不耐受的相关性
Medicine (Baltimore). 2017 Dec;96(51):e9477. doi: 10.1097/MD.0000000000009477.
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The relationship between cold intolerance and cutaneous blood flow in digital replantation patients.断指再植患者的畏寒与皮肤血流之间的关系。
J Hand Surg Br. 1986 Feb;11(1):15-9. doi: 10.1016/0266-7681(86)90004-5.
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Long-term follow-up of hand function after digit replantation.断指再植术后手部功能的长期随访
Ann Plast Surg. 1993 Oct;31(4):322-6. doi: 10.1097/00000637-199310000-00007.
10
Digital sensibility following replantation.再植后的数字感觉
J Hand Surg Am. 1978 Jul;3(4):313-9. doi: 10.1016/s0363-5023(78)80030-6.

引用本文的文献

1
Correlation of volumetric flow rate and skin blood flow with cold intolerance in digital replantation.断指再植中体积流量和皮肤血流与冷不耐受的相关性
Medicine (Baltimore). 2017 Dec;96(51):e9477. doi: 10.1097/MD.0000000000009477.
2
Evaluation of Cold Sensitivity, Pain, and Quality of Life After Upper Extremity Nerve Injury.上肢神经损伤后冷敏感性、疼痛及生活质量的评估
Hand (N Y). 2016 Jun;11(2):173-6. doi: 10.1177/1558944715627633. Epub 2016 Mar 3.
3
Economic analysis of revision amputation and replantation treatment of finger amputation injuries.
手指离断伤行再植与再造术治疗的经济学分析。
Plast Reconstr Surg. 2014 Apr;133(4):827-840. doi: 10.1097/PRS.0000000000000019.