Nursing of replantation of sea-water soaked rotated avulsion amputated fingers
10.3760/cma.j.issn.1672-7088.2014.12.015
- VernacularTitle:海水浸泡后旋转撕脱性断指再植促成活的护理
- Author:
Aijun ZHU
;
Fengyu PAN
;
Wancheng TIAN
;
Xuewu LIU
- Publication Type:Journal Article
- Keywords:
Hand injury;
Replantation of amputated finger;
,Seawater immersion;
Multi-finger amputation;
Nursing strategy
- From:
Chinese Journal of Practical Nursing
2014;30(12):49-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nursing of replantation methods of sea-water soaked rotated avulsion amputated fingers.Methods There were 8 cases (16 fingers) with sea-water soaked rotated avulsion amputated fingers.5 cases were replanted by synchronic replantation method,the other 3 cases were replanted by traditional replantation method.We adopted complete debridement and high quality vascular anastomosis during the operation,and give hyperbaric oxygen therapy and anticoagulant treatment post-operation.Results There were 15 survival fingers in 16 replanted fingers.The survival rate was 93.75%.After follow-up for three months to two years,the total good rate was 87.5%.No wound infection and nonunion of fracture occurred.The outline of the fingers was satisfying and patients felt well.The twopoint discrimination was 3~6 mm after 3~24 months follow-up.Conclusions The injury of sea-water soaked rotated avulsion amputated fingers is complicated and the replantation operation is difficult.but if we can adopt individual measure according to the actual circumstance,it is possible that the sea-water soaked rotated avulsion amputated fingers can survive.