Povlsen B, Nylander G, Nylander E
Department of Plastic Surgery, Hand Surgery and Burns, University Hospital of Linköping, Sweden.
J Hand Surg Br. 1995 Apr;20(2):237-9. doi: 10.1016/s0266-7681(05)80059-2.
The incidence of cold-induced vasospasm after hand injuries has been reported to be as high as 100%, following replanted digital amputations. The exact cause of this problem is obscure, no specific treatment is available and little is known about the long-term prognosis. Further knowledge is therefore needed in order to advise patients concerning future job potential at an early stage. In a previous paper we evaluated the incidence and severity of cold intolerance 2 years after digital replantation. The incidence of cold-induced vasospasm then was high as well as the discomfort experienced by the patients. We carried out a follow-up of patients previously examined 10 years ago. Our results show that cold induced vasospasm in replanted digits does not improve with time. Patients with moderate symptoms may perceive improvement, probably due to a change of habits. Patients with severe problems did not experience improvement and should be given early advice to seek work in warm surroundings to reduce the discomfort.
据报道，手指再植术后手部损伤后冷诱导血管痉挛的发生率高达100%。这个问题的确切原因尚不清楚，没有可用的具体治疗方法，而且对长期预后知之甚少。因此，需要进一步了解情况，以便在早期就未来的工作潜力向患者提供建议。在之前的一篇论文中，我们评估了手指再植术后2年冷不耐受的发生率和严重程度。当时冷诱导血管痉挛的发生率很高，患者也感到不适。我们对10年前接受过检查的患者进行了随访。我们的结果表明，再植手指的冷诱导血管痉挛不会随时间改善。症状较轻者可能会感觉有所改善，这可能是由于习惯的改变。问题严重的患者并没有得到改善，应该尽早建议他们在温暖的环境中工作，以减轻不适。
