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[手部咬伤]

[Bite injuries of the hand].

作者信息

Lichte P, Kobbe P, Taeger G, Nast-Kolb D, Hierner R, Oberbeck R

机构信息

Klinik für Unfallchirurgie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Deutschland.

出版信息

Unfallchirurg. 2009 Aug;112(8):719-26; quiz 727. doi: 10.1007/s00113-009-1675-1.

Abstract

Bite injuries of the hand have a clearly increased risk for infection compared with other regions. Surgical treatment of the wound is indicated, and the debridement must be done thoroughly and with consideration of the wound closure. Antibiotic therapy may be indicated in addition to the surgery if signs of infection exist. Antibiotics alone are not a suitable treatment. Common complications in cases of deficient primary therapy are flexor tenosynovitis, purulent arthritis, and phlegmons of the dorsal hand. These are emergencies and need immediate surgical intervention.

摘要

与身体其他部位相比,手部咬伤的感染风险明显更高。需对伤口进行手术治疗,清创必须彻底,并要考虑伤口闭合情况。如果存在感染迹象,除手术外可能还需使用抗生素治疗。单独使用抗生素并非合适的治疗方法。初始治疗不足的常见并发症包括屈指肌腱腱鞘炎、脓性关节炎和手背蜂窝织炎。这些均为急症,需要立即进行手术干预。

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