Tuncer Serdar, Ozcelik Ismail Bulent, Mersa Berkan, Kabakas Fatih, Ozkan Turker
Department of Plastic and Reconstructive Surgery, Istanbul Bilim University Medical Faculty, Istanbul, Turkey.
Ann Plast Surg. 2011 Aug;67(2):114-8. doi: 10.1097/SAP.0b013e3181f211e1.
The hand is the body part most frequently injured by broken glass. Glass fragments lodged in soft tissues may result in numerous complications, such as infection, delayed healing, persistent pain, and late injury as a result of migration. Between 2005 and 2010, we removed 46 glass particles from the hands of 26 patients. The injuries were caused by the following: car windows broken during motor vehicle accidents in 11 patients (42%); fragments from broken glasses, dishes, or bottles in 9 (35%); the hand passing through glass in 5 (19%); and a fragment from a broken fluorescent lamp in 1 (4%) patient. Despite the efficacy of plain radiographs in detecting glass fragments, these are sometimes not obtained. Given the relatively low cost, accessibility, and efficacy of radiographs, and the adverse consequences of retained foreign bodies, the objections to obtaining radiographs should be few in diagnosing glass-related injuries of the hand.
手是最常被碎玻璃割伤的身体部位。嵌入软组织的玻璃碎片可能会导致许多并发症，如感染、愈合延迟、持续疼痛以及因移位造成的后期损伤。2005年至2010年间，我们从26名患者手中取出了46颗玻璃颗粒。损伤原因如下：11名患者（42%）在机动车事故中车窗破碎；9名患者（35%）被破碎的眼镜、盘子或瓶子碎片割伤；5名患者（19%）手穿过玻璃；1名患者（4%）被破碎的荧光灯碎片割伤。尽管普通X线片在检测玻璃碎片方面有效，但有时并未进行此项检查。鉴于X线片成本相对较低、易于获取且有效，以及留存异物会带来不良后果，在诊断手部玻璃相关损伤时，反对进行X线片检查的情况应很少见。
