小剂量肝素治疗皮神经营养皮瓣术后静脉危象的探讨

目的：探讨小剂量肝素治疗皮神经营养皮瓣术后静脉危象的临床价值。方法：我院自2010年1月至10月共5例发生皮神经营养皮瓣术后皮瓣出现静脉危象。所有5例患者均在间断拆线的同时应用皮瓣皮下小剂量肝素注射使切缘持续缓慢渗血,并根据血运情况调整肝素使用剂量,观察皮瓣血运恢复情况及存活情况。结果：经小剂量肝素治疗后,5例皮神经营养皮瓣术后皮瓣颜色转红润,静脉危象均逐步缓解,全部皮瓣均成活,伤口无感染,愈合良好。患者对皮瓣外观和功能满意。结论：小剂量肝素皮下注射是一种简易但有效的解决皮神经营养皮瓣术后静脉危象的方法。

Low-dose Heparin for Vein Crisis after Neurocutaneous Vascular Flap

Objective：To discuss the low-dose heparin treatment for the vein crisis of neurocutaneous vasular flap.Methods：From January 2010 to October 2010,we have 5 neurocutaneous vasular flaps complicated by vein crisis performed low-dose heparin subcuta-neous injections to keep the flap edge capillary hemorrhage,observe the vein crisis process and adjust the heparin dosage.Results：All the flaps become ruddy and survived after the treatment of low-dose heparin injection.The incisions healed perfectly without infection.All patients were srtisfied with the flap appearance and function.Conclusion：The method of low-dose heparin subcutaneous injection is effective and easy to solve the vein crisis of neurocutaneous vascular flap.