A patient with functional impairment after replantation of severed limb was treated by electroacupuncture in combination with rehabilitation training, and needling was carried out on Quchi (曲池 LI 11), Shousanli ...A patient with functional impairment after replantation of severed limb was treated by electroacupuncture in combination with rehabilitation training, and needling was carried out on Quchi (曲池 LI 11), Shousanli (手三里 LI 10), Waiguan (外关 TE 5), Yangxi (阳溪 LI 5), Yangchi (阳池 TE 4), Yanggu (阳谷 SI 5), Hegu (合谷 LI 4), Baxie (八邪 EX-UE 9), wailaogong (外劳宫 EX-UE 8) and Yemen (液门 TE 2). Electroacupuncture was carried out on TE 5, EX-UE 8, LI 12 and LI 4. After treatments for four months, except the opposition of thumb was not satisfactory, the active exercises of the remaining four fingers almost recovered.展开更多
BACKGROUND This study aims to describe the application of a modified St.Thomas'solution in patients with severe limb injuries.CASE SUMMARY Four patients who sustained a high-energy trauma and underwent complete up...BACKGROUND This study aims to describe the application of a modified St.Thomas'solution in patients with severe limb injuries.CASE SUMMARY Four patients who sustained a high-energy trauma and underwent complete upper limb amputation were pretreated with a modified St.Thomas'solution before upper limb replantation.After the perfusion solution stopped flowing from the blood vessel,the amputated upper limb amputation was replanted.The patients were instructed to perform functional rehabilitation training after the operation.All 4 patients were followed up for 5 years.All the severed upper limbs survived.Routine re-examination after the operation showed that the function of the affected limb was restored.All the patients were satisfied with the sensory and functional recovery of the affected limb.CONCLUSION The modified St.Thomas'solution can effectively improve the success rate of limb salvage surgery and the recovery of limb function in patients with a severe limb injury.展开更多
文摘A patient with functional impairment after replantation of severed limb was treated by electroacupuncture in combination with rehabilitation training, and needling was carried out on Quchi (曲池 LI 11), Shousanli (手三里 LI 10), Waiguan (外关 TE 5), Yangxi (阳溪 LI 5), Yangchi (阳池 TE 4), Yanggu (阳谷 SI 5), Hegu (合谷 LI 4), Baxie (八邪 EX-UE 9), wailaogong (外劳宫 EX-UE 8) and Yemen (液门 TE 2). Electroacupuncture was carried out on TE 5, EX-UE 8, LI 12 and LI 4. After treatments for four months, except the opposition of thumb was not satisfactory, the active exercises of the remaining four fingers almost recovered.
基金Supported by the National Natural Science Foundation of China,No.81600694the Science and Technology Project of Nanjing,No.201503008.
文摘BACKGROUND This study aims to describe the application of a modified St.Thomas'solution in patients with severe limb injuries.CASE SUMMARY Four patients who sustained a high-energy trauma and underwent complete upper limb amputation were pretreated with a modified St.Thomas'solution before upper limb replantation.After the perfusion solution stopped flowing from the blood vessel,the amputated upper limb amputation was replanted.The patients were instructed to perform functional rehabilitation training after the operation.All 4 patients were followed up for 5 years.All the severed upper limbs survived.Routine re-examination after the operation showed that the function of the affected limb was restored.All the patients were satisfied with the sensory and functional recovery of the affected limb.CONCLUSION The modified St.Thomas'solution can effectively improve the success rate of limb salvage surgery and the recovery of limb function in patients with a severe limb injury.