Alpert B S, Buncke H J, Brownstein M
Plast Reconstr Surg. 1978 Jan;61(1):17-22. doi: 10.1097/00006534-197801000-00004.
Two cases are presented in which multiple vein grafts were used to revascularize several digits in hands injured by severe crushes. One case had partial amputations of 4 digits, and the other had 4 complete amputations. After debriding the damaged parts of the vessels, we interposed vein grafts in both the arterial and venous circulations to the digits. Seven of 8 revascularized digits survived. In crushing injuries, it is essential to debride the vessels proximally and distally to where the intima has not been injured. To bridge the gaps, vein grafts can be used successfully where other methods are undesirable or impossible.
本文介绍了两例手部严重挤压伤患者，采用多条静脉移植为多个手指重建血运。一例患者4个手指部分离断，另一例患者4个手指完全离断。在对血管受损部位进行清创后，我们在手指的动静脉循环中均植入了静脉移植物。8个重建血运的手指中有7个存活。在挤压伤中，必须在血管内膜未受损的部位对血管进行远近端清创。在其他方法不可行或不可能实施时，静脉移植可成功用于填补缺损。
