上肢损伤再植或血运重建术的发生率、流行病学和手术结果。

Nina Lindfors, Timo Raatikainen
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引用次数: 20

摘要

我们回顾性研究了2003年6月至2008年5月期间因上肢损伤可能进行再植术或血运重建术而入院的成年患者的流行病学。每年共收治121例(重度71例),平均24例(重度14例)。150万转诊区年截肢率为1.5/10万,重度截肢率为0.9/10万。大多数损伤发生在41-50岁的患者中。工作时间发生事故58例(重度36例),休闲时间发生事故62例(重度34例)。小全截肢的存活率为77%,全截肢的存活率为55%。在15例进一步血管化手术中,2例在掌骨水平成功。大多数事故发生在用圆锯或动力劈柴机加工木材的过程中。更多的努力应该集中在预防这类伤害上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence, epidemiology, and operative outcome of replantation or revascularisation of injury to the upper extremity.

We retrospectively studied the epidemiology of adult patients admitted for possible replantation or revascularisation of an injured upper extremity during the period June 2003 to May 2008. A total of 121 patients were admitted (71 graded severe), mean 24 (14 graded severe), being admitted each year. The annual rate of amputation injuries in the referral area of 1.5 million was 1.5/100 000 and for severe amputation injuries 0.9/100 000. Most injuries occurred in patients aged 41-50. Fifty-eight patients had the accident during working hours (36 severe), and 62 during leisure time (34 severe). The survival rate for subtotal amputations was 77% and for total amputations 55%. Of 15 further vascularisation procedures, two succeeded at the metacarpal level. Most of the accidents occurred during wood-processing with circular saws or powered wood splitters. More efforts should focus on preventing such injuries.

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