Søe Niels H, Jensen Nina Vendel, Dahlin Lars, Johansen Helle Krogh
Ortopaedkirurgisk Afdeling T/Håndkirurgisk Sektion, Gentofte Hospital, DK-2900 Hellerup.
Ugeskr Laeger. 2009 Mar 30;171(14):1189-93.
Hand infections can result in significant morbidity if not appropriately diagnosed and treated. Host factors, location and circumstances of the infection are important guides to initial treatment strategies. Many hand infections improve with early splinting, elevation and appropriate antibiotics based on bacterial culture. The basic principles for deep infections are bridement of necrotic and infected tissue and healing by second area intension and antibiotics. Hand therapy is important.
手部感染若未得到恰当诊断和治疗,可能会导致严重的发病情况。宿主因素、感染的部位及情况是初始治疗策略的重要指导依据。许多手部感染通过早期夹板固定、抬高以及根据细菌培养结果使用合适的抗生素即可改善。深部感染的基本原则是清除坏死和感染组织,通过二期愈合及使用抗生素促进愈合。手部治疗很重要。