上肢自行截肢是否是移植的禁忌?
Helene Retrouvey1, Alexander Lauder2, Kyros Ipaktchi2
1Division of Orthopedic Surgery, University of Colorado School of Medicine, Denver Health Medical Center, 12631 E. 17th Avenue, Academic Office 1, Mail Stop B202, CO, 80045, Aurora, USA. helene.retrouvey@gmail.com.
概括
严重的精神疾病应该被认为是并发症,而不是对上肢移植的禁忌. 这种方法,与精神病学团队的参与,可以改善自我造成的截肢的结果.
科学领域:
- 重建性手术是一种重建性手术.
- 精神病学并发症管理
背景情况:
- 传统上,严重的精神病并发症是肢体移植的禁忌.
- 精神病治疗的近期进展建议重新考虑这一立场.
- 自我造成的截肢在手术决策中提出了独特的挑战.
研究的目的:
- 讨论复杂的主题,在精神病相关疾病的背景下,再种植的禁忌.
- 审查文献,并介绍关于上肢自杀截肢的案例研究.
- 为患者管理自我造成的截肢提供建议.
主要方法:
- 介绍了两个不同的自我造成的上肢截肢的案例.
- 详细描述每个病例的急性治疗和手术结果.
- 对该主题现有的医学文献进行全面的审查.
主要成果:
- 案例1:在一个患有后截肢精神病的患者身上,通过手术和精神病学团队的联合管理,成功移植了一只自我截肢的手.
- 案例2:成功移植了自截肢的前臂,手术后的动作和重伤使其复杂化,需要修复手术.
- 两位患者在精神病学稳定和成功的手术干预后表示感谢.
结论:
- 自我造成的上肢截肢的管理是复杂而罕见的.
- 精神病诊断应该被视为并发症,而不是绝对的禁忌,用于移植.
- 涉及精神病学团队的知情同意讨论对于决策至关重要.
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