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[手部广泛撕脱伤的处理]

[Management of extensive avulsion injury of the hand].

作者信息

Goth D, Haussmann P

出版信息

Handchirurgie. 1977;9(1):17-9.

PMID:326644
Abstract

The case of a 25 years old industrial worker is reported, who suffered an extensive avulsion of his left hand in a rubber roller injury. The middle and ring fingers hand to be amputated. The skin loss was covered simultaneously by an axillary pedicled flap for the thumb, two pedicle flaps from the upper arm for the index and small fingers and split thickness skin grafts for the dorsum of the hand. In a second stage, sensation of the tips of thumb and index finger was restored by two innervated full thickness skin grafts from the dorsum of the foot.

摘要

报告了一名25岁产业工人的病例,其左手在橡胶滚筒损伤中遭受广泛撕脱伤。中指和环指不得不被截肢。拇指的皮肤缺损由腋部带蒂皮瓣覆盖,示指和小指的皮肤缺损由上臂的两个带蒂皮瓣覆盖,手背的皮肤缺损由断层皮片覆盖。在第二阶段,通过取自足背的两块带神经支配的全厚皮片恢复了拇指和示指指尖的感觉。

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