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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参考文献(References)：
- [1]陈中伟,主编.创伤骨科与显微外科[M].上海:上海科学技术出版社,1995,1:286-287.
- [2]Manuel R.P into,Lou ise D.Turlu la-P into,et al.H igh-pressure in jec-tion in juries to the hand:review of 25 patients managed by openwound techn ique[J].The Journal of Hand Surgery,1993,18(1):125-126.
- [3]苏兰海,张义峰,王宝顺,等.手部化学液体高压注射伤的治疗[J].中华手外科杂志,2001,17(4):227.
- [4]黄迅悟,蒋清涛.手指高压注射伤[J].中华手外科杂志,1994,10(4):224-225.
- [5]Rappold G,Rosenmary E.Handch ir M ikroch ir P last Ch ir,2001,33(5):332-341.
- [6]D im itar Vasilevsk i,Mark Noorbergen,M ichel D ep ierreux,et al.H igh-pressure in jection in juries to the hand[J].Am erican Journal ofEm er-gencyM ed icine,2000,18(7):822-823.
- [7]del Pinal F,Herrero F,Jado E,et al.J Trauma,2001,50(3):571-574.
- [8]S irrio CA,Sm ith JS Jr,G raham WP.H igh-pressure in jection in juriesof the hand[J].Surg(Am),1989,(55)12:714-718.
- [9]O'Su llivan ST,Beausang E,O'Donoghue JM,et al.The importance ofopen wound managem ent in h igh-pressure in jection in juries of the up-per limb[J].Journal ofHand Surgery,1997,22(4):542-543.
- [10]朱吉吉,彭光军,张印峰,等.逆行指动脉岛状皮瓣修复手指皮肤缺损19例[J].中国矫形外科杂志,2004,12(3,4):316.