Inoue G, Nakamura R, Imamura T
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
J Reconstr Microsurg. 1988 Jan;4(2):131-8. doi: 10.1055/s-2007-1006911.
Four cases of digit revascularization after prolonged warm ischemia are presented. Amputation injuries occurred in the summer, with the average temperature above 23 degrees C. The average warm ischemia time was 24 hr (range: 20 to 30 hr) from injury to the time of establishment of arterial inflow. Complete survival was achieved in three cases and partial survival in one case. Previously, eight to ten hours were believed an acceptable limit for warm ischemia; however, this study indicates that successful revascularization is still possible, even after a much longer period of time.
本文报告了4例长时间热缺血后手指再血管化的病例。截肢损伤发生在夏季，平均气温高于23摄氏度。从受伤到建立动脉血流的平均热缺血时间为24小时（范围：20至30小时）。3例完全存活，1例部分存活。此前，8至10小时被认为是热缺血的可接受时限；然而，本研究表明，即使在更长时间之后，成功进行再血管化仍然是可能的。
