一名四岁男性下肢损伤的初步肢体挽救干预:低资源环境下替代方案的案例报告

K. Mensah
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引用次数: 0

摘要

简介:民用环境中四肢残缺损伤对低资源环境中的事故和急诊部门来说是具有挑战性的条件,在这些环境中,救助疗法对患者来说可能不可行或负担不起。病例报告:我们描述了一个成功的初步保守肢体抢救管理的情况下,一个四岁的男性残废远端左下肢谁持续受伤时,一辆车从他的四肢,他在路上玩。该治疗方法与彻底完成截肢及其伴随的修复术形成对比,后者与类似的损伤相关,四肢严重程度评分≥7。结论:基于这方面的文献,我们讨论了保肢干预的益处和挑战,并在考虑对早期出现四肢损伤的复苏良好的儿童采用最初的保守保肢方法时提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Initial Limb Salvage Intervention for a Mangled Lower Extremity in a Four-Year-Old Male: A Case Report of the Alternatives in Low-resource Settings
Introduction: Mangled extremity injuries in civilian settings are challenging conditions for the accident and emergency units of low-resource settings where salvage therapies may not be feasible or affordable for the patients. Case Report: We have described a successful case of initial conservative limb salvage management for a mangled distal left lower limb in a four-year-old male who sustained the injury when a vehicle ran over his extremity as he played by the road. The treatment approach was in contrast to the radical completion of amputation with its attendant revisions, which are associated with similar injuries with the mangled extremity severity scores of ≥ 7. Conclusions: The benefits and challenges of the limb salvage intervention were discussed based on the literature in this regard, and a recommendation was proposed while considering an initial conservative limb salvage approach in well-resuscitated children presenting early with a mangled extremity injury.
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