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骨科顯微手術在急症外傷的運用與發展

The Current Trend of Orthopedic Microsurgery Applied in Trauma and Emergency Department

摘要


台灣地區的急症及外傷病患中,常見到肢體嚴重外傷受損,閉放性骨折,骨髓炎,糖尿病足,褥瘡,神經斷裂或斷指截肢等等棘手難治的病例。在近30年來的顯微手術發展中,已經對這些積重難治的急症外傷問題提出令人頗為滿意的答案。本文列舉了19種常見於急診處求醫的息者所面臨的骨科外傷或傷口發炎敗血症等問題,可利用現代顯微手術以解決其困難的最新趨勢。最後並提出未來顯微手術發展的研究方向。惟有完整的瞭解到顯微手術對骨外傷病患的幫助能到多大的程度,才能使我們在急症外傷的團隊醫療工作達到世界級的水準。

並列摘要


The recent advance in microsurgery has a great impact on our daily practice at emergency department in Taiwan. Many challenging cases such as digital amputation, crushed upper limb, open fracture, mangled lower extremity, brachial plexus injury, osteomyelitis, diabetic foot, and even bedsore, can be effectively solved by the adequate intervention with microsurgery. This paper described the current trend of microsurgery application in orthopedic trauma & emergency care. An update knowledge on the microsurgical field and well-organized team work are mandatory for physicians dealing with trauma cases in the modern setting of emergency department.

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