Kiprenskiĭ Iu V, Chernyshova N N, Ermolenko A E, Skvortsova O Iu, Cherniak M S
Ortop Travmatol Protez. 1989 Nov(11):35-9.
The authors have analysed the results of functional examinations of some organs in 26 patients after replantation (9 cases) following complete (4) and subtotal (5) avulsion and after revascularization (17 cases) of large segments following severe mechanical injuries. It has been demonstrated that 4 to 6 months after the operation the disturbances in the electric activity of the brain and in the secretory and secretory functions of the kidneys have a reversible character and regress 2 to 5 years later. No functional disturbances concern-ing the thyroid gland, the cardiovascular system and the liver have been revealed in the patients who were examined 4 to 5 months following the surgery. The authors believe that after replantation or revascularization of a large segment of an extremity which was devoid of circulation for 5 to 7 hours the patients should be under medical control for the activity of the inner organs, first of all the brain and the kidneys for at least 2 paors to be able to correct their functioning in good time.
作者分析了26例患者的一些器官功能检查结果，这些患者包括完全离断（4例）和不全离断（5例）后再植（9例）以及严重机械损伤后大段肢体血管再通（17例）后的情况。结果表明，术后4至6个月，大脑电活动及肾脏分泌和排泄功能的紊乱具有可逆性，并在2至5年后消退。术后4至5个月接受检查的患者未发现甲状腺、心血管系统和肝脏存在功能障碍。作者认为，对于肢体大段缺血5至7小时后进行再植或血管再通的患者，应至少对其内脏活动，首先是大脑和肾脏进行2年的医学监测，以便能够及时纠正其功能。
