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[花园中的害虫防治——一系列因私自使用爆炸物和捕兽夹导致的严重手部损伤病例]

[Pest control in your garden - a case series of severe hand injuries caused by privately used explosives and shot traps].

作者信息

Könneker S, Krezdorn N, Vogt P M, Altintas M A, Hiller M T, Ipaktchi R, Radtke C

机构信息

Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland.

Klinik für Plastische und Ästhetische Chirurgie/Handchirurgie, Bergmannsheil und Kinderklinik Buer GmbH, Schernerweg 4, 45894, Gelsenkirchen, Deutschland.

出版信息

Unfallchirurg. 2016 Oct;119(10):854-8. doi: 10.1007/s00113-016-0212-2.

Abstract

Booby traps and gun-like devices for vole control can lead to complex trauma requiring emergency medical care. We present a case series of patients who suffered severe hand and facial trauma through detonation of booby traps and paraphernalia (n = 9, Ø 60 years of age). All patients were admitted to the emergency department of Hannover Medical School for primary care. Between 2011 and 2015 we treated six patients with hand trauma due to gun-like devices, two patients with hand trauma due to booby traps, and one patient with injury to the face including eyes due to a gas cartridge explosion. All hand trauma patients (n = 8) showed injuries of the soft tissue. Six of these patients also presented fractures or lesions of capsular or tendon structures. Therapies included debridement as well as skin grafts or flaps for tissue defect coverage. We informed the Department for Commercial Safety (Gewerbeaufsicht Hannover) in 2014 because we believe that these traps pose a serious safety hazard.

摘要

用于控制田鼠的诱杀装置和类似枪支的器械可能导致需要紧急医疗护理的复杂创伤。我们报告了一系列因诱杀装置和相关器具爆炸而遭受严重手部和面部创伤的患者病例(n = 9,平均年龄60岁)。所有患者均被送往汉诺威医学院急诊科接受初步治疗。在2011年至2015年期间,我们治疗了6例因类似枪支的器械导致手部创伤的患者、2例因诱杀装置导致手部创伤的患者以及1例因气枪弹爆炸导致面部包括眼睛受伤的患者。所有手部创伤患者(n = 8)均有软组织损伤。其中6例患者还出现了骨折或关节囊或肌腱结构损伤。治疗方法包括清创以及使用皮肤移植或皮瓣覆盖组织缺损。由于我们认为这些诱捕装置构成严重安全隐患,我们于2014年通知了商业安全部门(汉诺威商业监管局)。

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