Experience of limb avulsion treatment.docVIP

 PAGE \* MERGEFORMAT 6 Experience of limb avulsion treatment Of: Gong Zhenhua, Yao, Ji Jian-Feng, Yang Jun, Triathlon [Abstract] of 28 patients with limb avulsion of comprehensive treatment, positive anti-shock fluid infusion, vital signs were stable wound debridement, avulsion replantation of the skin against the drum, to support anti-infection after treatment, post-autologous skin graft to take plants, Local flap repair wounds, and achieved satisfactory results. [Keywords:] avulsion, mesh skin, repair Severe trauma is often associated with large areas of skin laceration, a large area of skin laceration is often associated with deep tissue injury after injury because of massive blood loss and shock occurs, caused by improper treatment of wound infection, skin necrosis, etc. [1]. I Section 6, 2007 months to June 2009 were treated in different parts of the body skin avulsion in 28 cases, good results. Clinical data 1 General Information The group of 28 patients, 20 males, 8 females, aged 5 to 65 years. 8 cases of upper extremity injuries, lower extremity injuries in 18 cases, 2 cases of hip perineum. Admission craniocerebral trauma in 4 cases, 2 cases of blood pneumothorax, fracture 13 cases, of which 15 cases there is shock and signs on admission, the skin avulsion of the main deep fascia, the skin area of avulsion calculated by nine points from 10% to 20%. 2 treatment 2.1 Systemic treatment Large area of skin laceration by the injury area, bleeding, often associated with hemorrhagic shock, immediately after admission, open venous access, maintain airway patency, fluid anti-shock treatment, and requested the relevant departments dealing with associated injury consultation. 2.2 debridement Stable vital signs underwent debridement, debridement of necrotic tissue, cover skin deep tissue avulsion sites, for merger-related fractures were treated with external fixation surgery. Pruned avulsion skin, skin with a knife drum removal o