Franko Orrin I, Abrams Reid A
University of California, San Diego School of Medicine, San Diego, CA, USA.
Orthop Clin North Am. 2013 Oct;44(4):625-34. doi: 10.1016/j.ocl.2013.06.014.
Many acute hand and upper extremity infections should be treated as surgical emergencies to avoid stiffness, contracture, pain, and amputation. Proper treatment requires understanding of anatomy and how this influences the behavior of certain infections, common offending organisms, antibiotic treatment, management of host factors, and surgical intervention. This article reviews the microbiology, antibiotic coverage, and surgical treatment of the most common infections in the hand: paronychia, felon, herpetic whitlow, flexor tenosynovitis, deep space infections, septic arthritis, bites from humans and animals, necrotizing fasciitis, mycobacterium infections, and fungal infections. Recommendations are based on the most recent available evidence.
许多急性手部和上肢感染应作为外科急症进行治疗，以避免出现僵硬、挛缩、疼痛和截肢。正确的治疗需要了解解剖结构以及其如何影响某些感染的发展、常见的致病微生物、抗生素治疗、宿主因素的管理和手术干预。本文综述了手部最常见感染的微生物学、抗生素覆盖范围和外科治疗：甲沟炎、脓性指头炎、疱疹性瘭疽、屈指肌腱腱鞘炎、深部间隙感染、化脓性关节炎、人及动物咬伤、坏死性筋膜炎、分枝杆菌感染和真菌感染。建议基于最新可得证据。
