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手部高压注射伤的治疗特点
http://www.100md.com 《中国矫形外科杂志》 2006年第8期
手外伤,,手外伤;,高压注射伤;,清创,1材料和方法,2结果,3讨论,参考文献:
     摘 要:[目的]探讨手部高压注射伤(highpressure injection injuries of the hand,HPIIH)的发病机制,分析切开引流对其病程发展的影响。[方法]2001年11月~2005年11月,对5例手部高压注射伤作了切开引流、清创。[结果]3例伤口愈合良好,1例指腹和甲床部分坏死,作了邻指皮瓣修复,1例手指末节坏死于远侧指间关节以远截指。[结论]手部高压注射伤因注入物不同,造成结果差异较大。首次切开引流的时间常决定病程发展与疗效。切开引流充分是治疗的及时措施,必要时需多次清创引流。

    关键词:手外伤; 高压注射伤; 清创

    Characteristics of highpressure injection injuries of the hand∥ZHANG Kaiheng,LI Jun,HOU Mingzhong,et al.Department of Plastic Surgery,Shanghai First People's Hospital,Shanghai 200080

    Abstract:[Objective]To report the surgical managements and their outcomes in high pressure injection injuries of the hand (HPIIH) in 5 cases.[Method]Open wound technique and series debridement in all 5 cases were performed.The residual skin defects following debridement were repaired with crossfinger island flap in 1 case.[Result]From November 2001 to November 2005,5 cases of HPIIH were treated in our department and the wounds were healed satisfactorily.The flap was survived.Amputation of the finger was executed in 1 case.[Conclusion]The time of the first debridement after injury determines the prognosis.Aggressive wound debridement is a key point for good wound healing in HPIIH. ......

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