Role of mangled extremity severity score in reservation and amputation of crush limbs in patients attributable to China Wenchuan earthquake
- VernacularTitle:肢体挤压伤严重度评分系统在汶川大地震伤员保肢与截肢中的应用
- Author:
Xiufu LAN
;
Aimin WANG
;
Hongzhen SUN
;
Quanyin DU
;
Ziming WANG
;
Siyu WU
;
Bo HU
;
Weili FAN
- Publication Type:Journal Article
- Keywords:
Amputation,traumatic;
leg;
Mangled extremity severity score
- From:
Chinese Journal of Trauma
2008;24(10):861-863
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of mangled extremity severity score(MESS)in res-ervation and amputation of crush lower limbs in earthquake. Methods There were 122 patients with crush lower limb injuries,with MESS≥8 points in 34 patients who were primarily amputated,M ESS 5-7points in 19 who were principally preserved and MESS<5 points in 69 who were preserved by means of debridement,external fixators,plast splints and vaeuum sealing drainage technique.Results All pa-tients were survived.with amputation rate of 29.5%. Conclusion MESS is an important reference for evaluation of reservation and amputation of crush limb injuries caused by earthquake.