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患者男性 7岁病案号410598 从五楼电梯坠落、挤压致全身多发损伤,失血性休克2h,1990年5月22日入院。全身多处皮肤撕脱伤,多发骨折,右腘动脉完全断裂。即行抗休克、清创,骨折复位固定、腘动脉对端吻合术。术后次日出现右小腿骨筋膜室综合征。再行小腿外侧骨筋膜室切开减压。术中骨膜下切除腓骨中段约12cm,未缝合骨膜管(图1)。20个月后复查,X线像示右腓骨缺损段完全骨性愈合,再生段腓骨略弯曲,有一分叉处较正常侧细,髓腔已通(图2)。讨论:腓骨缺损12cm完全自然修复临床上罕见。分析本例自然修复原因:①患者年幼,自身修复的潜在
Patient male 7 years old case number 410598 crashed from the fifth floor elevator, causing multiple systemic injury extrusion, hemorrhagic shock 2h, admitted to hospital on May 22, 1990. Whole body multiple skin avulsion, multiple fractures, right 腘 artery completely broken. Name line anti-shock, debridement, fracture reduction and fixation, popliteal artery anastomosis. Right leg calf compartment syndrome appeared the next day after surgery. Then the external leg osteofascial room incision decompression. Intraoperative subperiosteal resection of the middle fibula about 12cm, not sutured periosteal tube (Figure 1). 20 months after the review, X-ray showed complete destruction of the right fibular defect healing, regenerative segment fibula slightly curved, with a bifurcation of the normal side of thin, medullary cavity has been through (Figure 2). Discussion: Fibular defect 12cm completely natural repair clinically rare. Analysis of the reasons for this case of natural repair: ① patients young, self-repair potential