ARTERIAL SPASTICITY AND COLD INTOLERANCE IN RELATION TO TIME AFTER DIGITAL REPLANTATION

被引：35

作者：

BACKMAN, C ^{[1
]}

NYSTROM, A ^{[1
]}

BACKMAN, C ^{[1
]}

BJERLE, P ^{[1
]}

机构：

[1] UNIV HOSP NO SWEDEN,DEPT HAND SURG,S-90185 UMEA,SWEDEN

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 05期

关键词：

D O I：

10.1016/0266-7681(93)90002-W

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Cold induced arterial vasospasm was studied in ten patients with single digit replantation, by measuring finger systolic pressure at different finger temperatures. Each patient was examined three times; within 2 weeks of surgery, after 1 year and after 3 years. The replantations were performed using long arterial and venous grafts. Cold-related vasospasm is established during the first year after trauma, and thereafter seems to be persistent. It is concluded that the subjective cold intolerance, which affects all patients after digital amputation regardless of whether replantation is performed or not, is partly due to vasospasm. It is less pronounced in patients without pathological vasospasm in the replanted digit. Cold intolerance is likely to decrease during the first 2 years after replantation, but not to disappear completely.

引用

页码：551 / 555

页数：5

共 22 条

[1]

Backman, Nystrom, Backman, Cold-induced arterial spasm after digital amputation, Journal of Hand Surgery, 16 B, 4, pp. 378-381, (1991)

[2]

Borg, Holmgren, Lindblad, Quantitative evaluation of chest pain, Acta Medica Scandinavica, pp. 43-45, (1981)

[3]

Ekenvall, Lindblad, Vibration white finger and digital systolic pressure during cooling, British Journal of Industrial Medicine, 43, pp. 280-283, (1986)

[4]

Ekenvall, Lindblad, Effect of tobacco use on vibration white finger disease, Journal of Occupational Medicine, 31, 1, pp. 13-16, (1989)

[5]

Engkvist, Wahren, Wallin, Torebjork, Nystrom, Effects of regional intravenous guanethidine block in post-traumatic cold intolerance in hand amputees., Journal of Hand Surgery, 10 B, 2, pp. 145-150, (1985)

[6]

Freedlander, The relationship between cold intolerance and cutaneous blood flow in digital replantation patients, Journal of Hand Surgery, 11 B, 1, pp. 15-19, (1986)

[7]

Gelberman, Urbaniak, Bright, Levin, Digital sensibility following replantation, Journal of Hand Surgery, 3, 4, pp. 313-319, (1978)

[8]

Glickman, Mackinnon, Sensory recovery following digital replantation, Microsurgery, 11, pp. 236-242, (1990)

[9]

Hagberg, Nystrom, Zetterlund, Recovery from symptoms after carpal tunnel syndrome surgery in males in relation to vibration exposure, Journal of Hand Surgery, 16 A, 1, pp. 66-71, (1991)

[10]

Hussl, Jungwirth, Hasenohrl, Microsurgery for cold intolerance after finger replantation, Lancet, 2, (1989)

← 1 2 3 →