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青少年手部损伤

[Hand injuries in adolescents].

作者信息

Trybus Marek, Guzik Piotr, Lorkowski Jacek, Hładki Waldemar, Brongel Leszek

机构信息

Z II Katedry Chirurgii Collegium Medicum Uniwersytetu Jagielloriskiego, Krakowie.

出版信息

Wiad Lek. 2006;59(7-8):502-5.

Abstract

MATERIAL AND METHODS

Based on the materials of 134 adolescent patients (age 15-19) with hand injuries treated in the II Department of Surgery of the Jagiellonian University between 1987-2000 results of treatment were described. The adolescents constituted 11.8% of all patients treated due to hand injuries.

RESULTS

Home was the most common place of the accident (59 patients - 44.01%), and the most common mechanism of injury was cutting by the glass or another sharp tool (61 patients - 45.52%). The mild and moderate injuries predominated (112 patients - 83.58%). 39 patients (29.10%) were treated after alcohol abuse; unfortunately. 35 patients (26.12%) were hospitalized from 1 to 24 days (av. 7.14 days). Time to obtain complete recovery reached max. 270 days but av. 55.56 days. Various degree of the persistent limitation of the hand function were observed in 65 patients (48.5%). Two of them (1.49%) got the disability pension and 8 (5.77%) had to change former job and activities.

CONCLUSION

The time of the complete cure could be shorter and the extent of persistent post-traumatic impairment of the patients with the heavy hand injuries could be limited if they would be treated in the specialized centers for hand surgery.

摘要

材料与方法

基于1987年至2000年间在雅盖隆大学第二外科治疗的134例手部受伤青少年患者(年龄15 - 19岁)的资料,描述了治疗结果。这些青少年占因手部受伤接受治疗的所有患者的11.8%。

结果

家中是事故最常见的发生地点(59例患者 - 44.01%),最常见的受伤机制是被玻璃或其他锐器割伤(61例患者 - 45.52%)。轻度和中度损伤占主导(112例患者 - 83.58%)。39例患者(29.10%)在酗酒之后接受治疗;不幸的是,35例患者(26.12%)住院1至24天(平均7.14天)。完全康复所需时间最长达到270天,但平均为55.56天。65例患者(48.5%)观察到不同程度的手部功能持续受限。其中2例(1.49%)获得了残疾抚恤金,8例(5.77%)不得不更换先前的工作和活动。

结论

如果手部重伤患者在专门的手外科中心接受治疗,完全治愈的时间可能会更短,创伤后持续性损伤的程度可能会得到限制。

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