手部及上肢的良性手术性气肿：气体不一定意味着坏疽——两例报告
Benign surgical emphysema of the hand and upper limb: gas is not always gangrene--a report of two cases.
作者信息
Fox A, Sheick H, Ekwobi C, Ho-Asjoe M
机构信息
Department of Plastic and Reconstructive Surgery, 3rd Floor, Lambeth Wing, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK.
出版信息
Emerg Med J. 2007 Nov;24(11):798-9. doi: 10.1136/emj.2007.046755.
Abstract
Subcutaneous emphysema of the hand can result from benign causes. Differentiating this from emphysema caused by gas-forming organisms is essential in the acute stages of presentation as the management differs considerably. We present two cases of benign surgical emphysema and highlight the importance of distinguishing between this and gas gangrene. A considered history and the absence of systemic features associated with benign causes of subcutaneous air will prevent unnecessary surgical exploration.
摘要
手部皮下气肿可由良性原因引起。在疾病呈现的急性期，将其与产气微生物引起的气肿区分开来至关重要，因为二者的治疗方法有很大差异。我们展示了两例良性手术性气肿的病例，并强调了区分这种气肿与气性坏疽的重要性。经过深思熟虑的病史询问以及不存在与皮下气肿良性病因相关的全身症状，可避免不必要的手术探查。
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