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急诊科复杂面部裂伤的处理

Management of Complex Facial Lacerations in the Emergency Department.

作者信息

Badeau Austin, Lahham Shadi, Osborn Megan

机构信息

University of California, Irvine, Department of Plastic Surgery, Orange, California.

University of California, Irvine, Department of Emergency Medicine, Orange, California.

出版信息

Clin Pract Cases Emerg Med. 2017 May 9;1(3):162-165. doi: 10.5811/cpcem.2017.2.33270. eCollection 2017 Aug.

Abstract

Laceration injuries comprise over 8% of all emergency department (ED) visits annually.1 Given that laceration injuries represent a significant volume of ED visits, emergency physicians (EP) should be comfortable treating these types of injuries. We present the case of a 34-year-old male who presented to the ED as a trauma activation who suffered multiple injuries including complex full-thickness lacerations to his face. While there are scenarios in which consulting a specialist is necessary, knowledge and application of basic wound closure principles allows for many complex lacerations to be repaired by EPs. We provide a helpful systematic approach to evaluating and treating complex facial lacerations in the ED.

摘要

每年因撕裂伤就诊于急诊科(ED)的患者占比超过8%。鉴于撕裂伤患者在急诊科就诊量中占相当大的比例,急诊医生(EP)应熟练处理这类损伤。我们报告一例34岁男性患者,其因创伤激活被送至急诊科,全身多处受伤,包括面部复杂的全层撕裂伤。虽然在某些情况下需要咨询专科医生,但掌握基本的伤口缝合原则并加以应用,许多复杂的撕裂伤可由急诊医生修复。我们提供一种在急诊科评估和治疗复杂面部撕裂伤的实用系统方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98bb/5965160/7f355a9de21e/cpcem-01-162-g001.jpg

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