Deriabin I I, Tsagareishvili E A, Gumanenko E K, Samokhvalov I M, Rozhkov A S, Bobrovkii N G, Sorokin E A
Vestn Khir Im I I Grek. 1987 Jun;138(6):129-33.
An analysis of 246 observations has shown that in patients with crushed extremities accompanied by shock the amputation is the most important antishock measure. The amputation performed by the method of primary surgical treatment of the wound is the method of choice. The amount of postoperative complications can be considerably reduced by using the primarily delayed suture, carbon sorbents on the stump wound, temporary immobilization of the extremity stump.
对246例观察病例的分析表明,在伴有休克的肢体挤压伤患者中,截肢是最重要的抗休克措施。采用伤口一期外科治疗方法进行截肢是首选方法。通过使用一期延迟缝合、在残端伤口使用碳吸附剂、对肢体残端进行临时固定,可以显著减少术后并发症的数量。