Schenck T, Holzbach T, Machens H G, Giunta R E
Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, München, Deutschland.
Unfallchirurg. 2011 Mar;114(3):263-7. doi: 10.1007/s00113-010-1819-3.
Injection injuries of the hand are often underestimated because the full extent of the injury often only emerges after a delay. Flap coverage is often needed to avoid amputation.
In the case presented an epoxy resin injection trauma to the left index finger occurred. A critical blood circulation resulted and after demarcation of the injury a radical débridement was carried out. A heterodigital island flap was used to reconstruct the dorsum of the finger and 3 years after the trauma the patient has no impairments in daily activities.
The extent of the injury and the carcinogenic properties of the injected material are crucial for adequate treatment of injection injuries. Patients should be referred to specialized hand centers at an early stage.
手部注射伤常常被低估，因为损伤的全貌往往在延迟一段时间后才显现出来。通常需要皮瓣覆盖以避免截肢。
在本病例中，患者左手食指发生了环氧树脂注射伤。导致了严重的血液循环障碍，在损伤界限明确后进行了彻底清创。采用了异体手指岛状皮瓣重建手指背侧，外伤后3年患者日常活动无功能障碍。
损伤程度和注射物质的致癌特性对于注射伤的恰当治疗至关重要。患者应尽早转诊至专业的手部中心。
