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[上肢再植患者的感觉障碍]

[Sensory disorders in patients with replanted upper extremities].

作者信息

Rezkov G I

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1993;93(1):64-7.

PMID:8042368
Abstract

A study was made of the clinical characteristics and the dynamics of the recovery of different type sensitivity in 87 patients who had undergone replantation of amputated large segments of the upper limbs. No differences were revealed in the dynamics of the recovery of painful and tactile sensations. During the first year after trauma, the articular muscular sensation outstripped the painful and tactile ones. Investigation of discrimination sensitivity acquires significance only half a year after trauma, namely after the recovery of the painful sensitivity. The choice of the methods and scope of investigation of sensitivity should be made with regard to the period of the recovery of nervous function of the replanted limb and the time that elapsed after trauma.

摘要

对87例接受上肢大段断肢再植手术患者的临床特征及不同类型感觉恢复动态进行了研究。疼痛和触觉恢复动态未显示出差异。创伤后的第一年,关节肌肉感觉的恢复超过了疼痛和触觉感觉。辨别感觉的研究仅在创伤半年后才有意义,即疼痛感觉恢复之后。敏感性调查方法和范围的选择应根据再植肢体神经功能恢复的时期以及创伤后经过的时间来确定。

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