| 地塞米松对扩张皮瓣血运障碍的救治 |
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| 引用本文： | 曹景敏,王慧,王标,吴玉家,彭黎军.地塞米松对扩张皮瓣血运障碍的救治[J].中华医学美学美容杂志,2005,11(3):153-155. |
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| 作者姓名： | 曹景敏 王慧 王标 吴玉家 彭黎军 |
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| 作者单位： | 1. 250031,济南,济南军区总医院整形外科
2. 250031,济南,济南军区总医院放疗科 |
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| 摘 要： | 目的寻求扩张皮肤Ⅱ期手术形成皮瓣时出现血运障碍及防止坏死的有效治疗方法。方法皮瓣出现血运障碍时，立即静脉给予地塞米松0．4mg／kg，然后逐渐减量，术后6d停药。10d时观察判断皮瓣成活情况。结果35例出现血运障碍的皮瓣，经救治完全成活33例，大部分成活2例。成活后皮瓣色泽、弹性均好。结论及时用地塞米松是防止扩张皮瓣出现血运障碍及坏死的良好方法。
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| 关 键 词： | 地塞米松 皮瓣 血运障碍 组织缺血 血液循环 |
| 修稿时间： | 2003年7月25日 |
Dexamethasone prevents expanding flap in stage two from necrosis |
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| CAO Jing-min,WANG Hui,WANG Biao,WU Yu-jia,PENG Li-jun.Dexamethasone prevents expanding flap in stage two from necrosis[J].Chinese Journal of Medical Aesthetics and Cosmetology,2005,11(3):153-155. |
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| Authors: | CAO Jing-min WANG Hui WANG Biao WU Yu-jia PENG Li-jun |
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| Abstract: | Objective To find an effective method to prevent expanding flap from necrosis when expanders were removed. Methods After the expanders were removed, dexamethasone (5mg/kg) was injected into vein immeadiately when flaps showed blood flow disturbance, then decreased gradually and stopped until 6 days after operation. Results 33 of 35 patients recovered completely, and other 2 flaps survived mostly. Conclusion Dexamethasone given immeadiately could prevent expanding flap from necrosis. |
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| Keywords: | Expanding flap Blood flow disturbance Dexamethasone |
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