| 游离皮瓣血管危象的监测和处理 |
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| 引用本文： | 李劲松,陈伟良,潘朝斌,王建广,杨朝晖,叶华山,黄志权. 游离皮瓣血管危象的监测和处理[J]. 岭南急诊医学杂志, 2003, 8(2): 106-107 |
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| 作者姓名： | 李劲松 陈伟良 潘朝斌 王建广 杨朝晖 叶华山 黄志权 |
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| 作者单位： | 中山大学附属第二医院口腔科,510120;中山大学附属第二医院口腔科,510120;中山大学附属第二医院口腔科,510120;中山大学附属第二医院口腔科,510120;中山大学附属第二医院口腔科,510120;中山大学附属第二医院口腔科,510120;中山大学附属第二医院口腔科,510120 |
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| 摘 要： | 目的：探讨游离皮瓣血管危象的发生机理、监测和处理方法。方法：对32例游离前臂皮瓣中出现的5例血管危象进行分析。介绍各种术后监测方法和危象皮瓣的探查、抢救措施。结果：5例皮瓣血管危象中4例经抢救成活,1例失败,抢救成功率为80％,游离皮瓣移植成活率为96．9％。结论：术后严密监测皮瓣变化,发现皮瓣血管危象后及时探查是保证危象抢救成功的关键。
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| 关 键 词： | 游离皮瓣 血管危象 监测 处理 |
Monitoring and Management of Vascular Crisis of Free Skin Flap |
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| LI Jing-song,CHEN Wei-liang,PAN Chao-bin,et al.. Monitoring and Management of Vascular Crisis of Free Skin Flap[J]. Lingnan Journal of Emergency Medicine, 2003, 8(2): 106-107 |
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| Authors: | LI Jing-song CHEN Wei-liang PAN Chao-bin et al. |
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| Affiliation: | LI Jing-song,CHEN Wei-liang,PAN Chao-bin,et al. Department of Stomatology,the Second Affiliated Hospital of Sun Yat-sen University,Guangzhou,510120 |
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| Abstract: | Objective:To discuss the pathogensis, monitoring and management of vascular crisis of free skin flap. Methods: 5 cases vascular crisis of free skin flap were retrospectively analyzed. The multiple methods for monitoring were introduced. Surgical exploration for failing flap was described in detail. Results:4 cases vascular crisis of free skin flap were successfully salvaged, with a success rate of 80%. Conclusions:Keeping close watch over the change of flap after operation and exploring in time after vascular crisis are still the main factors that ensure the success of salvation. |
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| Keywords: | free skin flap vascular crisis monitoring management |
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