Off days in the earthquake disaster of traumatic amputation.doc

 PAGE \* MERGEFORMAT 9 Off days in the earthquake disaster of traumatic amputation Of: Zhang Bin, Ma Yong, Dai Min, Leigang Gang, Cheng small high Tang Yamin, Hu Liu City [Abstract] [Objective] To investigate the earthquake hazard in the choice of traumatic amputation. [Methods] Retrospective analysis of hospital medical team in May 2008 the Bank of China in the Sichuan earthquake of 10 cases of traumatic amputation (10 limbs) clinical data . [Results] 10 patients, 2 patients residual limb stump skin graft after the healing of wounds Ⅱ, 2 cases of local skin epidermal necrolysis stump, the short-term healed after changing dressing, wound more than 6 patients in stage Ⅰ limb stump healing. [ Conclusion] in the earthquake disaster in the choice of amputation level can not be forced to preserve limb length, according to the intraoperative increase in muscle necrosis, as appropriate amputation level, while the skin incision for the limb stump were not compelled Ⅰ high tension of closed limb stump incision, may be extended or closed cut stage Ⅱ. [Keywords:] earthquake, trauma, amputation In the earthquake disaster, due to the collapse of buildings, landslides and other long limb was buried, the pressure drop phenomenon is very common. Thus, while the patients were successfully rescued, but due to time pressure body, which appears compartment syndrome, or crush syndrome, leading to organ dysfunction leg gangrene and, when patients must be amputated to save the life of the line as soon as possible. But the level of amputation in patients with a direct impact on the future quality of life, excessive pursuit of limb length and ignore the specific circumstances, often leads to stump necrosis, infection, pyogenic osteomyelitis, etc. Therefore, the earthquake disaster in selected patients with amputation should pay close attention to our hospital medical .2008 May earthquake in Sichuan Communist line traumatic amputation in 10 patients (10 limbs) , a good pro