Digital Replantation under Digital Block Anesthesia

在1998年裡，有十位斷指患者，我們使用手指局部麻醉，完成11例斷指重接，手術時採仰姿，用2% lidocaine局部注射於患指掌指關節附近，大部分的患者，在以手套做成的止血帶下，修補一條動脈與二條靜脈。其中一位患者兩指重接，手術時間平均5.1小時。二位患者因血流問題重新手術，一位患者在接指失敗後，在全身麻醉下，用第一背掌指皮瓣將傷口閉合。其中兩位重新手術的患者，後來再以腋窩麻醉或全身麻醉來手術。最後，九位患者成功的在局部麻醉下完成手術（失敗率10%），十例斷指重接成功（成功率91%）。在顯微手術時並無困難，也無因麻醉所導致的併發症。所以手指局部麻醉下斷指重接，是一種簡易、安全、經濟、有效的方法，可使用在合作且單一斷指的患者。

關鍵字

無資料

並列摘要

For 10 patients involving 11 finger amputations, replantations were performed under the digital block anesthesia in 1998. The patient underwent replantation in a supine position. The local anesthesial (lidocaine 2% without epinephrine) was given around the MP joint as little as possible. For most of the patients, one digital artery and two veins were repaired under the digital tourniquet made of the surgical glove. Two digits were replanted in one patient. The average operative time was 5.1 hours. Two patients underwent re-operation for vascular problems. One thumb tip replantation failed and immediately the first dorsal metacarpal flap was used for the wound coverage under the general anesthesia. These two salvage fingers were performed under the axillary block or general anesthesia during the reoperation surgery. Nine, patients under the local anesthesia completed the courses of the operation, with the conversion rate of 10%. Ten digits (91%) survived. No complication was related with the digital block anesthesia. The digital block anesthesia for digital replantation is an easy, safe, economic and effective way and may be used preliminarily for replantation in a cooperative patient with a single digital amputation.

並列關鍵字

digital replantation ； digital block anesthesia

國際替代計量

Digital Replantation under Digital Block Anesthesia

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