Elsharawy Mohamed A, Maher Karay, Elsaid Aymen S
Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia.
Vascular. 2012 Dec;20(6):321-4. doi: 10.1258/vasc.2012.cr0279. Epub 2012 Sep 27.
Most surgeons make their decision to amputate or perform limb salvage of a mangled extremity based on scoring systems and grading of acute ischemic limb. We report on a child in whom limb salvage was achieved in spite of a clinical picture of irreversible ischemia with high mangled severity scores. Attempts to revascularize the mangled extremity of children are recommended, regardless of their severity scores and condition of the foot.
大多数外科医生根据评分系统和急性缺血肢体的分级来决定是否对严重毁损的肢体进行截肢或保肢手术。我们报告了一名儿童，尽管其临床表现为不可逆缺血且毁损严重程度评分很高，但仍成功实现了保肢。无论儿童严重毁损肢体的评分和足部状况如何，均建议尝试对其进行血管重建。
