儿童手部开放性损伤后的包扎和固定  

Banding and Fixation after Open Hand Injury in Children

作　　者：马世伟[1] 吕丰[1] 

机构地区：[1]沈阳医学院附属中心医院手外六科,沈阳110024

出　　处：《中国实用乡村医生杂志》2017年第7期67-70,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的 总结儿童手部开放性损伤后的包扎和固定方法及注意事项.方法 回顾性分析沈阳医学院附属中心医院2009年8月—2016年3月收治的405例手部开放性损伤患儿的临床资料,总结包扎固定方法及注意事项.结果 术后375例获随访,3例屈指肌腱损伤患儿,因外固定石膏折断继发肌腱二次断裂;4例因包扎过紧致伤指血管危象;9例因包扎方法不当致指蹼间浸渍、术区外露而继发创口感染.结论 对于手部开放性损伤患儿,应根据损伤的解剖部位和病情,结合儿童手部的生理发育特点,采取恰当的包扎固定方法.Objective To introduce the methods and precautions of banding and fixation after open hand injury in children. Methods The clinical data of 405 patients with open hand injury from August 2009 to March 2016 in The Sixth Department of Hand Surgery of Central Hospital Affiliated to Shenyang Medical College were analyzed retrospectively. Different banding and fixation methods as well as the related notes were summarized. Results 375 cases were followed up. 3 cases of flexor tendon injury in patients had secondary tendon fracture due to gypsum breakage; 4 cases had vascular crisis due to excessively tight banding; 9 cases had dipping in the finger web and wound infection due to improper banding methods. Conclusion Adopting appropriate banding and fixation method is a fundamental guarantee for good prognosis according to different anatomical sites in open hand injury, different injuries and physical development characteristics of children＇s hand.

关 键 词：开放性损伤 手部 儿童 包扎 固定 

分 类 号：R72[医药卫生—儿科]