O'Neill Jennifer K, Richards Simon W, Ricketts David M, Patterson Marc H
Orthopaedic Department, Princess Royal Hospital, Lewes Road, Haywards Heath, West Sussex RH16 4EX, UK.
Environ Health. 2005 Oct 11;4:21. doi: 10.1186/1476-069X-4-21.
The incidence of needlestick injuries in farmers and veterinary surgeons is significant and the consequences of such an injection can be serious.
We report accidental injection of bovine vaccine into the base of the little finger. This resulted in increased pressure in the flexor sheath causing signs and symptoms of ischemia. Amputation of the digit was required despite repeated surgical debridement and decompression.
There have been previous reports of injection of oil-based vaccines into the human hand resulting in granulomatous inflammation or sterile abscess and causing morbidity and tissue loss. Self-injection with veterinary vaccines is an occupational hazard for farmers and veterinary surgeons. Injection of vaccine into a closed compartment such as the human finger can have serious sequelae including loss of the injected digit. These injuries are not to be underestimated. Early debridement and irrigation of the injected area with decompression is likely to give the best outcome. Frequent review is necessary after the first procedure because repeat operations may be required.
农民和兽医针刺伤的发生率很高，这种注射的后果可能很严重。
我们报告了一例将牛用疫苗意外注射到小指根部的病例。这导致屈肌鞘内压力升高，引起缺血的体征和症状。尽管反复进行手术清创和减压，仍需要截肢。
此前已有将油基疫苗注射到人类手部导致肉芽肿性炎症或无菌性脓肿并引起发病和组织损失的报道。农民和兽医自行注射兽用疫苗是一种职业危害。将疫苗注射到如人类手指这样的封闭腔隙中可能会产生严重后果，包括被注射手指的丧失。这些损伤不容小觑。早期对注射区域进行清创和冲洗并减压可能会取得最佳效果。首次手术后需要频繁复查，因为可能需要再次手术。
