Dr. Huang emphasized that "lacunar syndrome" can occur not only in obvious limb trauma, but also in sprains and lumps all over the body. (Photo courtesy of Dalin Tzu Chi Hospital) Patient Xu said that because of the maintenance of the machine, he accidentally dragged his gloved right hand into the belt of the machine and asked him to try his best to talk to the machine for more than 10 minutes, otherwise the whole arm might be reimbursed. Colleagues came under his call for help, and after more than an hour of hard work, they separated his hand from the machine. But the flesh on the upper layer of his wrist was twisted above the palm of his hand, and his whole right hand was swollen and smelled of burning. Later, the pain made him numb, only knowing that his hand was still there.
The ambulance took Mr. Xu to the local hospital for two debridement operations, removed the bruised flesh, and was hospitalized 1 1 day, but his condition did not improve, and his five fingers did not listen. Doctors in the local hospital thought that he had to receive further treatment, or he was in danger of amputation, so he was transferred to Dalin Tzu Chi Hospital.
Huang, a plastic surgeon at Dalin Tzu Chi Hospital, made a detailed examination for him after receiving the consultation. He found that the injured tendons and bones were not broken, and there were numbness, swelling, whiteness, hardness and pain. This is a typical "secret room syndrome". The above symptoms are caused by poor blood circulation and tendon hypoxia. If it is not treated in time, it may cause muscle necrosis, and in severe cases it may be necessary to amputate.
Huang pointed out that during the operation, it was found that the patient's arterial blood vessels were also necrotic due to embolization of two centimeters. Therefore, a small flap of the patient's right thigh was cut off and the artery on the flap was preserved and transplanted to the right wrist, which not only made up for the patient's lost flesh, but also restored the function of blood vessels, cut off the muscle covering the nerve and alleviated the pain caused by nerve swelling.
Two weeks after the operation, Xu Qingsen was able to move two of his five fingers, and the function of his hand was gradually recovering. When his hands are ready, he will go back to his original job. He called Dr. Huang a "wonderful hand"; However, Huang said that patients still have to make efforts to do rehabilitation treatment, and the function of hands can be restored to more than 90%.
Huang stressed that "chamber syndrome" not only has obvious limb trauma, but also has common sprains and lumps. If limb swelling occurs, be sure to consult the relevant doctor for a detailed examination. If the opportunity of treatment is missed, it will cause limb disability or partial loss of function.