Night-prone vascular crisis replantation of severed fingers to explore the reasons for and Countermeasure.docVIP

 PAGE \* MERGEFORMAT 9 Night-prone vascular crisis replantation of severed fingers to explore the reasons for and Countermeasure [Abstract] of 20 cases of replantation of severed fingers Vascular Crisis clinical observation of patients and found that within 72 h after digital replantation is a period of high incidence of vascular crisis, at this stage of vascular crisis occurs particularly at night the highest rate, and vascular anastomosis techniques, finger conditions, are now mainly neurophysiological factors, external factors and the corresponding countermeasures to deal with discussions with a view to reducing the incidence of night-time vascular crisis. [Keywords:] finger replantation; night vascular crisis In our hospital in February 2007 ~ February 2008 digital replantation vascular crisis occurred in 20 patients with analysis of clinical cases and found that within 72 h after digital replantation is a period of high incidence of vascular crisis, in this phase, particularly at night the highest rates. A clinical data 20 cases 17 were males and 3 females, of which 5 cases of the index finger, middle finger in 3 cases, 7 cases of ring finger, little finger in 5 cases. Vascular crisis occurred after the time were 72 h, in addition to two cases occurred in the day, more than 18 cases occurred during the night, the time distribution is 23:00 ~ 1:00 in 2 cases, 1:00 ~ 3:00 9 cases, 3:00 ~ 5:00 in 7 cases. 20 cases of surgical exploration in 9 cases, of which 4 cases of arterial embolism, venous thrombosis in 2 cases, I as the artery spasm. After aggressive treatment, 20 cases of replanted fingers survived in 18 cases, inactivation in 2 cases. 2 Discussion 2.1 Physiological Factors and Treatment of Nerve 2.1.1 Neural factors that increased vagal tone at night, so that the small blood vessels in a contracted state, prone to spasm, resulting in an artery crisis replanted fingers time and the occurrence of arterial embolism arterial spasm broadly consis