Stone M H, Stone D H, MacGregor H A
Department of Orthopaedic Surgery, Glasgow Royal Infirmary, UK.
Br J Addict. 1990 Nov;85(11):1495-6. doi: 10.1111/j.1360-0443.1990.tb01634.x.
Of 77,686 case records of attendance at an accident and emergency department during 1986, 488 (0.6%) contained documented evidence of intravenous drug misuse (IDM). Clinical examination had revealed signs of soft tissue sepsis in 150 (31%) of these, the commonest sites being the wrist and forearm (31% of lesions), the antecubital fossa (19%), fingers and hand (14%) and thigh and groin (11%). These data highlight the anatomical areas to which medical and nursing staff should pay particular attention when examining patients with a background of IDM. Conversely, the presentation of soft tissue sepsis in these sites should alert clinicians to the possibility of underlying IDM.
在1986年急诊科的77686份就诊病例记录中，有488份（0.6%）包含静脉药物滥用（IDM）的书面证据。临床检查发现其中150例（31%）有软组织感染迹象，最常见的部位是手腕和前臂（占病变的31%）、肘前窝（19%）、手指和手部（14%）以及大腿和腹股沟（11%）。这些数据突出了医护人员在检查有IDM背景的患者时应特别关注的解剖区域。相反，这些部位出现软组织感染应提醒临床医生注意潜在的IDM可能性。
