手部高压注射伤的治疗特点Characteristics of high-pressure injection injuries of the hand
章开衡;李峻;侯明钟;黄燮青;黎晓华;蔡燕娴;沈尊理;张兆锋;
摘要(Abstract):
[目的]探讨手部高压注射伤(h igh-pressure in jection in juries 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(KeyWords): 手外伤;高压注射伤;清创
基金项目(Foundation):
作者(Author): 章开衡;李峻;侯明钟;黄燮青;黎晓华;蔡燕娴;沈尊理;张兆锋;
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