我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

四肢软组织损伤评估与救治的几个重要问题

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年01期
页码:
5-9
栏目:
专家论坛
出版日期:
2020-01-22

文章信息/Info

Title:
Several important questions about evaluation and treatment of severe soft tissue injury of limbs
文章编号:
1009-4237(2020)01-0005-05
作者:
赵 刚
250000 济南,山东大学附属济南中心医院
Author(s):
ZHAO Gang
Ji'nan Central Hospital,Shandong University,Ji'nan 250000,China
关键词:
软组织损伤 四肢 保肢 截肢 损害控制
分类号:
R 641
DOI:
10.3969j.issn.1009-4237.2020.01.002
文献标识码:
A
摘要:
严重的四肢软组损伤评估与救治中,有以下几个重要问题值得商榷:有没有比较全面的软组织伤分型; 这种分型对于临床伤情评估、治疗决策有多大价值?对于濒临截肢的严重四肢软组织伤,如何评估和处置?对于严重四肢软组织伤应如何把握保肢与截肢,靠某种评分,还是靠经验; 对于特殊类型的四肢软组织伤,如何评估与救治等。

参考文献/References

[1] 王伯珉.四肢软组织损伤的评估与治疗[J].创伤外科杂,2018,20(6):401-403.
[2] 顾立强,朱庆棠,戚剑.开放性骨折改良Gustilo分型与保肢策略[J].中华显微外科杂志,2017,40(1):13-15.
[3] 赵刚.濒临截肢伤保肢治疗学[M].北京:人民军医出版社,2011.
[4] Johansen K,Daines M,Howey T,et al.Objective criteria accurately predict amputation following lower extremity trauma[J].J Trauma,1990,30(5):568-573.
[5] Sharma S,Devgan A,Marya KM,et al.Critical evaluation of mangled extremity severity scoring system in Indian patients[J].Injury,2003,34(7):493-496.
[6] Korompilias AV,Beris AE,Lykissas MG,et al.The mangled extremity and attempt for limb salvage[J].J Orthop Surg Res,2009,4:4.
[7] Durham RM,Mistry BM,Mazuski JE,et al.Outcome andutility of scoring systems in the management of the mangled extremity[J].Am J Surg,1996,172:569-674.
[8] O'Sullivan ST,O'Sullivan M,Pasha N,et al.Is it possible to predict limb viability in complex Gustilo IIIB and IIIC tibial fractures? A comparison of two predictive indices[J].Injury,1997,28(9-10):639-642.
[9] Elsharawy MA,Maher K,Elsaid AS.Limb salvage in a child eith severely injured mangled lower extremity and muscle rigor[J].Vascular,2012,20(6):321-324.
[10] Menakuru SR,Behera A,Jindal R,et al.Extremity vascular trauma in civilian population:a seven-year review from North India[J].Injury,2005,36(3):400-406.
[11] Russell WL,Sailors DM,Whittle TB,et al.Limb salvage versus traumatic amputation: a decision based on a seven-part predictive index[J].Ann Surg,1991,213(5):473-481.
[12] Bosse MJ,MacKenzie EJ,Kellam JF,et al.A prospective evaluation of the clinical utility of the lower extremity injury-severity scores[J].J Bone Joint Surg(Am),2001,83-A(1):3-14.
[13] Howe Jr HR,Poole GV,Hansen KJ,et al.Salvage of lower extremities following combined orthopedic and vasculartrauma: a predictive salvage index[J].Am Surg,1987,53(4):205-208.
[14] McNamara MG,Heckman JD,Corley EG.Severe open fracture of the lower extremity:a retrospective evaluation of the mangled extremity severity score[J].J Orthop Traum,1994,8(2):81-87.
[15] Ly TV,Travison TG,Castillo RC,et al.Ability of lower extremity injury severity scores to predict functional outcome after limb salvage[J].J Bone Joint Surg(Am),2008,90(8):1738-1743.
[16] 赵刚.濒临截肢伤的保肢策略[J].创伤外科杂志,2014,16(6):569-571.
[17] 李大伟,赵刚,唐宇峰,等.多学科联合治疗多发伤合并坏死性筋膜炎7例体会[J].创伤外科杂志,2018,20(9):647-652.
[18] Leiblein M,Marzi I,Sander AL,et al.Necrotizing fasciitis:treatment concepts and clinical results[J].Eur J Trauma Emerg Surg,2018,44(2):279-290.
[19] Kuckelhaus M,Hirsch T,Lehnhardt M,et al.Necrotizing fasciitis of the upper and lower extremities[J].Chirurg,2017,88(4):353-366.
(收稿日期: 2019-08-14)

备注/Memo

备注/Memo:
通信作者: 赵刚,E-mail:zhaogang198@163.com
更新日期/Last Update: 2020-01-21