显微镜下清创＋置管冲洗＋封闭负压引流术治疗手部高压油漆注射伤  

Treatment of high - pressure paint injection injuries to the hand by microscopic debridement, lavage and vacuum sealing drainage

作　　者：魏世隽[1] 韩芳[2] 

机构地区：[1]广州军区武汉总医院营养科,430070 [2]广州军区武汉总医院骨科,430070

出　　处：《临床外科杂志》2010年第9期617-618,共2页Journal of Clinical Surgery

摘　　要：目的探讨手部高压油漆注射伤的有效治疗方法。方法对2006年至2010年收治的11例手部高压油漆喷枪注射伤患者采用显微镜下清创＋置管冲洗＋封闭负压引流术的方法进行治疗。结果11例患者均在术后20～39d左右伤口获得愈合，平均30d，无一例出现手指坏死。结论手部高压油漆注射伤是一种严重的复合伤，处置不当容易并发感染、组织坏死、骨筋膜间室综合征等严重并发症，显微镜下清创＋置管冲洗＋封闭负压引流术的治疗方法可明显降低感染及致残率。Objective To examine the effective treatment for high - pressure paint injection injuries to the hand. Methods From 2006 to 2010,11 cases of high - pressure paint injection injuries to the hand were treated with microscopic debridement,lavage and vacuum sealing drainage. Results All the patients were recovered 20 to 39 days after the operaion（ 30 days on average）. None finger necrosis was developed. Conclusion High - pressure injection injuries to the hand are a severe compound injury, often result in poor outcome or serious complications. This treatment of microscopic debridement, lavage and vacuum sealing drainage for high -pressure paint injection injuries to the hand can significantly reduce the infection and morbidity.

关 键 词：高压油漆注射伤 清创 显微镜 

分 类 号：R619[医药卫生—外科学]