腕掌部开放损伤的治疗教训  

Lessons Drawn from the Treatment of Open Wounds of the Wrist and Palm

作　　者：邹志云[1] 周新江[1] 

机构地区：[1]江西医学院第二附属医院骨科

出　　处：《江西医学院学报》1990年第2期47-48,共2页Acta Academiae Medicinae Jiangxi

摘　　要：分析64例腕掌部开放性损伤患者的治疗教训。本院急诊38例全部随访,其中,2例遗漏正中神经损伤未缝合;1例正中神经缝接错误。外院转诊26例,二期手术中证实有9例神经损伤未缝合或缝接错误;13例肌腱缝接错误;另4例外敷草药治疗而致手麻木和功能障碍。作者认为清创是治疗手部开放性损伤的关键;早期修复受损组织优于二期手术。提出应建立手外科专业队伍和加强科普教育。Lessons drawn from the treatment of sixty four cases with open wounds of the wrist and palm were analysed. 38 emergency cases in our hospital were followed up. Among them, 2 cases with severed median nerve missed to be sutured, 1 case had the median nerve improperly sutured. of the 26 patients transferred from other hospitals, 9 were with missed on improperly neurosuture, 13 were with severed tendons improperly sutured, 4 patients suffered from disfunction and numbness of hand after external application of herbs. All of them were confirmed by operation. The authors believe that the key to treatment of open wounds of the hand is debridement,and that early repair of injured tissue is better than secondary operation. It is suggested that a professional contingent of hand surgery should be organized and that knowledge of science must be popularized.

关 键 词：手损伤 外科手术 清创术 

分 类 号：R658.205[医药卫生—外科学]