Peters W
Division of Plastic Surgery, Wellesley Hospital, Toronto, Ont.
Can J Surg. 1991 Oct;34(5):511-3.
High-pressure injection injuries are potentially disabling forms of trauma. Three cases are presented of patients who sustained high-pressure injuries from paint, air and water. Injuries from paint require emergency surgical débridement and exploration because of the extreme tissue toxicity of the injected material. The patient in this study had a favourable outcome after delayed closure of his wound and extensive physiotherapy. High-pressure injuries resulting from air and water can be managed conservatively, as in the two patients reported in this paper. Their treatment included tetanus prophylaxis, irrigation, dressings, splinting, admission to hospital, intravenous broad-spectrum antibiotics, radiologic assessment and careful neurovascular evaluation. Surgical débridement and exploration were not necessary.
高压注射伤是具有潜在致残性的创伤形式。本文介绍了3例分别因油漆、空气和水导致高压伤的患者。由于注入物质具有极强的组织毒性，油漆所致损伤需要进行急诊手术清创和探查。本研究中的患者在伤口延迟缝合和广泛物理治疗后取得了良好的效果。空气和水导致的高压伤可采用保守治疗，如本文报道的2例患者。其治疗包括破伤风预防、冲洗、换药、夹板固定、住院、静脉注射广谱抗生素、放射学评估以及仔细的神经血管评估。无需进行手术清创和探查。
