应用棒纹牛蛭治疗指尖再植术后血管危象1例

A Case Report on Vascular Crisis Treatment by Using Poecilobdella javanica after Fingertip Replantation

采用水蛭吸血疗法对1名21岁男性断指患者实施无静脉吻合指尖再植手术后血管危象治疗.连续3 d定期用棒纹牛蛭吸取患者指尖血液,每次用2条棒纹牛蛭吸血,每天吸食2次,直至其吸饱后自动脱离.经棒纹牛蛭吸血治疗后,患者指尖逐渐由青紫色变得红润,肿胀感消失,未出现伤口感染症状.经过后期护理,无静脉吻合指尖再植手术取得成功.

Treatment of vascular crisis with leech therapy was applied to a 21-year-old patient after f ingert ip replantation without venous anastomosis. The leech therapy was applied for three days with Poecilobdella javanica sucking the replanted f ing ertip. Two leeches were used each time and twice each day until they are automatically separated from sucking. After treatment of leech-sucking, the dark purple fingertip gradually turned to red; the swelling vis ib ly reduced, and normal capillary was refilled with blood. The wound was not in fe c -ted. After the post nursing, the finger replantation without venous anastomosis was successful.