Romero-Prieto Fernando, González-Morales Juan Carlos
Hand Surgery and Peripheral Nerve Unit, Roosevelt Hospital, Guatemala City, Guatemala.
J Surg Case Rep. 2017 Dec 11;2017(12):rjx243. doi: 10.1093/jscr/rjx243. eCollection 2017 Dec.
Amputations of a traumatic origin are very frequent in developing countries, in the case of Guatemala these are a result of work accidents very closely related to poor work conditions existing for manual workers, as well as social violence and the lack of security that governs society. The present case shows a patient that suffered a left hand amputation at wrist level. Amputated hand was transported swiftly and in adequate conditions, maintaining cold chain at all times until arrival at Hospital for replantation. After 14 months, patient has evolved satisfactorily and obtained functional result of the hand.
在发展中国家，创伤性截肢非常常见。就危地马拉而言，此类截肢是工伤事故的结果，这与体力劳动者恶劣的工作条件、社会暴力以及社会缺乏安全保障密切相关。本病例展示了一名患者，其左手在腕部水平被截肢。被截肢的手被迅速且妥善地运送，全程保持冷链，直至送达医院进行再植。14个月后，患者恢复情况良好，手部获得了功能恢复。
