Anwar Mohammad U, Tzafetta Kalliroi, Southern Stephen J
Department of Plastic Surgery & Burns, Pinderfields General Hospital, Wakefield, United Kingdom.
Surg Infect (Larchmt). 2008 Jun;9(3):357-66. doi: 10.1089/sur.2007.031.
A retrospective review is presented of 76 patients with infections of the hand, referred from the community and admitted to our plastic surgery unit for treatment over a 30 month period.
Retrospective chart review and review of the pertinent English-language literature.
The majority of the patients (82%) were male. Most incidents leading to infection happened at home (47%). All except two patients presented with cellulitis, and 55% had abscess formation. The most common site of infection was the digits followed by the dorsum of the hand. The average time to operative drainage was 6 h. Only seven patients (9%) were managed non-operatively. The mean duration of follow up was 51 days. Age and positive cultures were good predictors of the hospital stay and the number of operative procedures, respectively.
Hand infections are surgical emergencies; correct and prompt management thus is essential. A quick and effective regimen for treatment yielded good results.
对76例手部感染患者进行回顾性研究，这些患者来自社区，在30个月的时间里被转诊至我们的整形外科接受治疗。
进行回顾性病历审查并查阅相关英文文献。
大多数患者（82%）为男性。大多数导致感染的事件发生在家中（47%）。除两名患者外，所有患者均表现为蜂窝织炎，55%有脓肿形成。最常见的感染部位是手指，其次是手背。手术引流的平均时间为6小时。只有7例患者（9%）接受了非手术治疗。平均随访时间为51天。年龄和阳性培养结果分别是住院时间和手术次数的良好预测指标。
手部感染是外科急症；因此正确及时的处理至关重要。快速有效的治疗方案产生了良好的效果。
