Morgan W J, Palmer A
Accident & Emergency Department, Royal Gwent Hospital, Newport, Gwent, Great Britain.
J Trauma. 1989 Jan;29(1):102-3. doi: 10.1097/00005373-198901000-00022.
Intravenous regional anaesthesia proved to be an effective anaesthetic agent for the repair of isolated cut flexor digitorum profundus tendons. Twenty-five patients underwent primary repair, of whom 20 were assessed 1 year later. Overall results were satisfactory regarding movement at the distal joint. Five of the cases were missed at initial examination and the repair carried out longer than 1 week from the injury. In view of the generally accepted poor initial diagnosis in the Emergency Department for the isolated flexor tendon lesion, exploration under a simply performed local anaesthetic block has advantages where the diagnosis is in doubt. The main operative problem with this technique was the venous ooze which occurred during the operation, and this could be a contraindication to its use for more complicated hand surgery.
静脉区域麻醉被证明是修复孤立的指深屈肌腱的一种有效麻醉剂。25例患者接受了一期修复，其中20例在1年后接受评估。关于远侧关节的活动，总体结果令人满意。5例在初次检查时漏诊，修复时间距受伤超过1周。鉴于急诊科对孤立性屈肌腱损伤的初始诊断普遍较差，在诊断存疑时，在简单实施的局部麻醉阻滞下进行探查具有优势。该技术的主要手术问题是术中出现的静脉渗血，这可能是其用于更复杂手部手术的一个禁忌证。
