Department of Emergency, National University Hospital, Singapore.
Eur J Emerg Med. 2010 Dec;17(6):343-5. doi: 10.1097/MEJ.0b013e32833777c4.
We aim to define the characteristics of patients with hand injuries in the emergency department (ED), their management and operative findings. Decision on admission was also analyzed between the ED and the hand and reconstructive microsurgical team. We reviewed 504 patients seen at the ED over a 3-month period with isolated hand injuries and found more males (88%) who were between 20 and 30 years of age (51%). Most had industrial injuries (43%) from lacerations or crush. Left hand injuries were more common. About 62% of the patients were discharged after treatment at the ED while 38% were admitted. A high level of concurrence in the decisions made by the ED and hand and reconstructive microsurgery signifies good quality assessment performed by the ED. The operative findings of fractures, tendon, nerve and vessel injuries for those who were admitted to the wards are higher than those admitted to 'day surgery'.
我们旨在定义急诊（ED）手部损伤患者的特征、他们的处理方式和手术结果。还分析了 ED 和手及重建显微外科团队之间的入院决策。我们回顾了 3 个月内在 ED 就诊的 504 例手部孤立伤患者，发现更多男性（88%）年龄在 20 至 30 岁之间（51%）。大多数患者因切割伤或挤压伤而发生工业损伤（43%）。左手损伤更常见。大约 62%的患者在 ED 治疗后出院，而 38%的患者入院。ED 和手及重建显微外科做出的决策高度一致，表明 ED 进行了高质量的评估。住院患者的骨折、肌腱、神经和血管损伤的手术结果高于日间手术患者。
