Zonis Z, Weisz G, Ramon Y, Bar Joseph G, Torem S, Melamed Y, Bialik V
Israeli Naval Hyperbaric Institute, Haifa.
Pediatr Emerg Care. 1995 Jun;11(3):176-8. doi: 10.1097/00006565-199506000-00009.
Massive trauma to a limb, even in young children, may lead to loss of viability and function. A combination of open fracture with vascular, crush, and avulsion injury resulting in acute peripheral ischemia may place the extremity at risk of necrosis and imminent amputation. We suggest a combined, multidisciplinary approach that includes initial vascular repair and fractures fixation, with early institution of hyperbaric oxygen therapy.
即使是幼儿，肢体遭受严重创伤也可能导致生存能力和功能丧失。开放性骨折合并血管、挤压和撕脱伤导致急性周围缺血，可能使肢体面临坏死和即将截肢的风险。我们建议采用综合的多学科方法，包括初期血管修复和骨折固定，并尽早进行高压氧治疗。
