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马伤口处理与皮肤外科手术的并发症

Complications of equine wound management and dermatologic surgery.

作者信息

Hanson R Reid

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, JT Vaughan Hall, 1500 Wire Road, Auburn, AL 36849, USA.

出版信息

Vet Clin North Am Equine Pract. 2008 Dec;24(3):663-96, ix. doi: 10.1016/j.cveq.2008.10.005.

Abstract

Complications of wounds and cosmetic surgery can be accurately managed with a combination of timely surgical and medical intervention to ensure the best possible outcome. The lack of soft tissue protection and a large quantity of susceptible synovial, tendon, ligament, and neurovascular structures make early and meticulous evaluation of limb wounds critical. Skin grafting is usually used following a period of open wound management and after healthy granulation tissue formation. Penetrating wounds of the abdomen or thorax have a guarded prognosis resulting from the ensuing potential for infection and pneumothorax. Gunshot wounds limited to the skeletal muscles have a good prognosis, whereas injuries that involve vital organs decreased survivability.

摘要

伤口和整容手术的并发症可通过及时的手术和医疗干预相结合来准确处理,以确保获得最佳结果。由于缺乏软组织保护以及存在大量易受影响的滑膜、肌腱、韧带和神经血管结构,对肢体伤口进行早期细致评估至关重要。通常在开放性伤口处理一段时间且健康肉芽组织形成后进行皮肤移植。腹部或胸部的穿透伤预后不佳,因为随后有感染和气胸的潜在风险。限于骨骼肌的枪伤预后良好,而涉及重要器官的损伤则会降低生存率。

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