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战斗环境中足部和踝关节感染伤口的防治

Prevention and treatment of infected foot and ankle wounds sustained in the combat environment.

作者信息

Masini Brendan D, Murray Clinton K, Wenke Joseph C, Hsu Joseph R

机构信息

Brooke Army Medical Center (BAMC), Fort Sam Houston, TX 78234, USA.

出版信息

Foot Ankle Clin. 2010 Mar;15(1):91-112. doi: 10.1016/j.fcl.2009.10.002.

DOI:10.1016/j.fcl.2009.10.002
PMID:20189119
Abstract

Combat injuries to the foot and ankle are challenging to treat due to frequent high-energy mechanisms, environmental contamination, and soft tissue and bony damage. Prevention and treatment of infections in injuries to the foot and ankle are critical to achieving the goals of tissue healing and restoration of function. The guidelines for treatment of these foot and ankle injuries are similar to those in place for civilians; however, allowances must be made for the realities of combat including an often austere environment, the need for evacuation, and limitations on resources available for treatment.

摘要

由于足部和踝关节战伤常常由高能量机制导致,且存在环境污染、软组织和骨骼损伤,因此其治疗颇具挑战性。预防和治疗足部和踝关节损伤的感染对于实现组织愈合和功能恢复的目标至关重要。这些足部和踝关节损伤的治疗指南与平民适用的指南相似;然而,必须考虑到战斗的实际情况,包括通常严峻的环境、后送需求以及可用于治疗的资源限制。

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