| 手部高压注射伤的治疗特点 |
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| 引用本文： | 章开衡,李峻,侯明钟,黄燮青,黎晓华,蔡燕娴,沈尊理,张兆锋. 手部高压注射伤的治疗特点[J]. 中国矫形外科杂志, 2006, 14(8): 572-573,i0002 |
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| 作者姓名： | 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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| 作者单位： | 1. 上海交通大学附属第一人民医院整形科,上海武进路85号,200080
2. 上海交通大学附属第一人民医院宝山分院手外科,上海市同泰北路101号,200940 |
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| 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。
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| 关 键 词： | 手外伤 高压注射伤 清创 |
| 收稿时间： | 2005-12-14 |
| 修稿时间： | 2005-12-14 |
Characteristics of high-pressure injection injuries of the hand |
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| ZHANG Kai-heng, LI Jun, HOU Ming-zhong,et al.. Characteristics of high-pressure injection injuries of the hand[J]. The Orthopedic Journal of China, 2006, 14(8): 572-573,i0002 |
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| Authors: | ZHANG Kai-heng LI Jun HOU Ming-zhong et al. |
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| Affiliation: | ZHANG Kai-heng, LI Jun, HOU Ming-zhong, et al. |
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| 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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| Keywords: | Hand injury High pressure injury Debridement |
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