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周旭东.中西医结合治疗手指远端严重挫灭伤[J].中国中西医结合杂志,1985,(12):726-727,769,707
中西医结合治疗手指远端严重挫灭伤
TCM-WM Treatment of Severe Laceration in’Distal Fingers
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DOI:
中文关键词:  末节手指  再生效果  远端  创面愈合  中西医结合治疗  软组织  乙醇  指甲  肉芽增生  指骨
英文关键词:
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作者单位
周旭东 四川省彭山县医院 
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中文摘要:
      用中药末调乙醇外敷治疗手指远端严重挫灭伤以促进再生,经治42指愈后功能正常,外观与原手指形态相同(或小有差异)达92.9%。文中强调了清创术的要领以洗净为主,提出了伤指分型与本法的适应证。
英文摘要:
      This paper introduces a feasible method for treating severe laceration in distal fingers.A paste is prepared by grounding Ligusticum chuanxiong,Alisma orientalis,Atractylodes lancea,Angelica sinensis and Carthamus tinctorius into powder and then dissolve them in alcohol for local use.Moschus berezovskii is added if necessary. There were 42 fingers of 30 cases treated with this paste.The function of 39 fingers out of 42 was restored without significant difference from the original ones.Typical cases and photographs are presented in this report.During debridement the living skin flap and soft tissue,especially the substrate tissue should not be excised. This paper also introduces standards for the classification of finger injury and those for the healing of wounded fingers as well.Effects of the drugs to the growth of fingers are discussed.The paper also describes,the shape of wounded fingers being healed and the process of epithalization.It is considered that the recovery of the sensory of distal fingers is due to regeneration of the nerve fibres.
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