论文部分内容阅读
头皮广泛性撕脱伤常致颅骨外露,需将骨皮质凿除后再予植皮,但最终因疤痕和无发造成患者精神上创伤。Lu(1969)曾治疗头皮小面积或小儿大面积损伤,当受皮区血管丰富时采用回植成功。作者报告应用血管吻合第一次获得成功的病例如下: 患者女性,21岁,1974年8月长发被机器卷入造成全头皮撕脱外,还包括前额肌和两侧眉部,右面颊,部分外耳和上睑,骨膜大面积从骨质上脱落,伤后45分钟入院,有轻度休克,头皮除颅顶处裂伤有皱叠外其它均完整,头皮湿敷冷藏。C_5—C_6有骨折移
Scalp extensive avulsion caused by the skull exposed, need to be cortical bone excision and then to the skin graft, but eventually due to scarring and non-fat caused by mental trauma patients. Lu (1969) had treated a small area of the scalp or a large area of pediatric injury and was successful in grafting when the vessels in the dermis were abundant. The authors report the first successful application of vascular anastomosis as follows: Female patient, 21 years old, August 1974 Long-haired by the machine causing avulsion of the entire scalp, including the frontal and bilateral eyebrows, right cheek, Some of the outer ear and upper eyelid, periosteum off a large area from the bone, 45 minutes after injury admission, mild shock, scalp addition to the skull at the top of a crumpled folds are all other outside, scalp wet compress. C_5-C_6 fractures