Chiu H Y, Chen M T
J Hand Surg Am. 1984 Jan;9A(1):63-7. doi: 10.1016/s0363-5023(84)80186-0.
A case of digits revascularized after 33 hours of warm ischemia time is described. Ischemic changes had occurred already with ultimate loss of the distal segments, but most of the fingers survived to provide the patient with adequate function. Although the commonly accepted limit of warm ischemia time has been reported to be within 6 to 12 hours, revascularization of digits can be attempted in selected cases even after an apparent prolonged warm ischemia time.
本文描述了一例在热缺血33小时后进行手指血管重建的病例。热缺血改变已经发生,远端节段最终丧失,但大部分手指存活下来,为患者提供了足够的功能。尽管普遍认为热缺血时间的上限为6至12小时,但即使在明显延长的热缺血时间后,仍可在选定病例中尝试进行手指血管重建。