Qilu Evening News Qilu One Point Reporter Sun Shuyu Correspondent Luan Xiuling Zhang Guojie
Recently, a 2-year-old girl in Yantai was squeezed off by a dough press. The second hand surgeon of yantaishan hospital east hospital overcame many difficulties and completed the reimplantation of the broken finger in time for her.
On the day of the incident, the little girl's parents were using the dough press, due to neglect, her hand was swept into the machine, the parents found out and immediately shut down, but it was too late, the little girl's hand had been "bitten" by the dough press. Immediately, the little girl was quickly sent to Yantaishan Hospital, where doctor Ji Yuan of the Second Department of Hand Surgery of the East Hospital received the treatment.
"This child was torn off and fractured, which is more difficult to handle than cutting off the severed wound." Ji Yuan told reporters that in the process of tearing off and breaking, there may be long sections of blood vessel tearing or even defects, and the injury is more complicated. Coupled with the young age of the child, it brings many challenges to the reimplantation operation.
Ji Yuan introduced that the children's blood vessels are difficult to bridge and anastomose, the blood vessel wall is thin and easy to damage, the pressure is serious, some blood vessels are defective, and the risk of replantation is high; and the crying and restlessness of children after surgery are easy to cause vascular crisis.
Faced with various difficulties, the second surgeon of the East Hospital decided to fight hard. Doctors found that both finger arteries of the affected finger were defective by 2 cm during the operation. With the consent of the child's parents, the superficial vein is taken from the child's forearm and the bilateral finger artery is repaired by inverted bridging to restore blood transport in the affected finger. It is understood that the diameter of the blood vessels that were anastomated during the operation was only 0.2 mm, and the doctor worked intently under the microscope for 4 hours to complete the operation.
It is reported that at present, the girl's hand blood circulation recovery is better, and the re-implantation of fingers has become a living, and she has been discharged from the hospital recently.
![The survival rate of broken finger replantation in children is higher than that of adults, and the surgery in children is more difficult, so it is easier to survive[fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)