药用水蛭的临床应用：实用综述。

Clinical uses of the medicinal leech: a practical review.

作者信息

Porshinsky B S, Saha S, Grossman M D, Beery Ii P R, Stawicki S P A

机构信息

Department of Surgery, The Ohio State University Medical Center, Columbus, OH, USA.

出版信息

J Postgrad Med. 2011 Jan-Mar;57(1):65-71. doi: 10.4103/0022-3859.74297.

DOI:10.4103/0022-3859.74297

PMID:21206115

Abstract

The medicinal leech, Hirudo medicinalis, is an excellent example of the use of invertebrates in the treatment of human disease. Utilized for various medical indications since the ancient times, the medicinal leech is currently being used in a narrow range of well-defined and scientifically-grounded clinical applications. Hirudotherapy is most commonly used in the setting of venous congestion associated with soft tissue replantations and free flap-based reconstructive surgery. This is a comprehensive review of current clinical applications of hirudotherapy, featuring a comprehensive search of all major medical search engines (i.e. PubMed, Google Scholar, ScientificCommons) and other cross-referenced sources. The authors focus on indications, contraindications, practical application/handling of the leech, and therapy-related complications.

摘要

医用水蛭，即欧洲医蛭，是无脊椎动物用于治疗人类疾病的一个绝佳范例。自古以来，医用水蛭就被用于各种医学适应症，目前它被应用于范围较窄的、明确且有科学依据的临床应用中。水蛭疗法最常用于与软组织再植和游离皮瓣重建手术相关的静脉充血情况。这是一篇关于水蛭疗法当前临床应用的综合综述，其特点是全面检索了所有主要医学搜索引擎（即PubMed、谷歌学术、科学公共图书馆）及其他交叉引用来源。作者重点关注适应症、禁忌症、水蛭的实际应用/操作以及与治疗相关的并发症。