目的 探索头皮撕脱伤显微外科再植的急救处理方法。方法 2009年7月至2014年12月,采用显微外科头皮再植术治疗6例全头皮撕脱伤患者,急诊抢救措施包括早期静脉补液、输血纠正休克,快速体检后加压包扎,复合创伤检查及处理以排除任何危及生命的伤害。结果 6名患者再植术后头皮存活,形态和功能恢复良好。结论 显微外科头皮再植术可实现最佳的头皮外观重建与功能恢复。充分的术前评估、急救处理和术后护理,是显微外科头皮再植成功的重要因素。

Objective To explore the emergency management of total scalp avulsion with microsurgical replantation. Methods From July 2009 to December 2014, 6 cases with total scalp avulsion were treated with microsurgical replantation. Initial management in the emergency department included correction of hemorrhagic shock with early blood transfusion, intravenous rehydration and wound compression after rapid physical examination. A compound trauma and preoperative workup prior to replantation was performed to exclude any associated life-threatening injuries. Results The scalp of 6 cases was survived well, good appearance and function of the completely avulsed tissues and organs were achieved in all the cases. Conclusion Successful replantation can achieve the best esthetic and functional results when compared with other procedures. In addition, preoperative evaluation and preparation in the emergency department are considered to be an important part of the successful salvage of the avulsed scalp.