肢体挤压伤严重度评分系统在汶川大地震伤员保肢与截肢中的应用
Role of mangled extremity severity score in reservation and amputation of crush limbs in patients attributable to China Wenchuan earthquake
目的 评估肢体挤压伤严重程度评分(mangled extremity severity score,MESS)系统对地震中下肢压砸伤保肢与截肢的参考价值. 方法 汶川地震中下肢压砸伤122例,MESS≥8分的34例,5~7分的19例,<5分的69例.≥8分I期截肢;5~7分先保肢治疗(后改为截肢的2例),I期截肢后因感染骨外露再次截肢7例;<5分给予保肢治疗,保肢方法为清创后合用外同定架、石膏和创面负压引流技术. 结果 按MESS法救治122例伤员无一例死亡,截肢率29.5%.结论 MESS系统在严重地震压砸伤的保肢与截肢评估中起重要的参考作用.
更多Objective To evaluate the role of mangled extremity severity score(MESS)in res-ervation and amputation of crush lower limbs in earthquake. Methods There were 122 patients with crush lower limb injuries,with MESS≥8 points in 34 patients who were primarily amputated,M ESS 5-7points in 19 who were principally preserved and MESS<5 points in 69 who were preserved by means of debridement,external fixators,plast splints and vaeuum sealing drainage technique.Results All pa-tients were survived.with amputation rate of 29.5%. Conclusion MESS is an important reference for evaluation of reservation and amputation of crush limb injuries caused by earthquake.
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