Fialkov J A, Freiberg A
Department of Surgery, Toronto Western Hospital, Ontario.
J Emerg Med. 1991 Sep-Oct;9(5):367-71. doi: 10.1016/0736-4679(91)90381-o.
Injuries resulting from the use of high pressure injectors and spray guns are relatively rare; however, the potential tissue damage caused by the injury as well as the extent of the injury itself may go unrecognized by the primary physician. The purpose of this paper is to inform the emergency physician of the nature and standard management of this type of injury. A basic understanding of the pathophysiology of the high pressure injection injury (HPII) is essential in avoiding the mistakes in management that have been reported in the literature. The emergency management of the HPII includes: evaluation and immobilization, tetanus and antimicrobial prophylaxis, supportive and resuscitative measures, analgesia, and minimizing the time to definitive surgical treatment.
使用高压注射器和喷枪造成的损伤相对罕见；然而，损伤所导致的潜在组织损伤以及损伤本身的程度可能未被首诊医生认识到。本文旨在告知急诊医生这类损伤的性质和标准处理方法。对高压注射伤（HPII）的病理生理学有基本的了解对于避免文献中报道的处理失误至关重要。HPII的急诊处理包括：评估与固定、破伤风和抗菌药物预防、支持与复苏措施、镇痛以及尽量缩短至确定性手术治疗的时间。
