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Hand Clin. 2020 Aug;36(3):381-386. doi: 10.1016/j.hcl.2020.03.012.
Infections are an important source of morbidity in pediatric hands that come from frequent exposure to mouths and other dangers while exploring the world. Although Staphylococcus aureus is still the most common organism in pediatric hand infections, it is less common than in adults because pediatric patients are more likely to develop mixed aerobic/anaerobic infections or group A Streptococcus pyogenes infection. Pediatric patients with open physes potentially may sustain Seymour fractures of the distal phalanges that may become infected and sources for osteomyelitis if not recognized early.
感染是导致儿科手部发病的一个重要原因,因为儿童在探索世界的过程中,手部会频繁接触口腔和其他危险物。虽然金黄色葡萄球菌仍然是儿科手部感染最常见的病原体,但它比成人中少见,因为儿科患者更容易发生需氧/厌氧混合感染或 A 组链球菌感染。骺板未闭合的儿科患者可能会发生 Seymour 远端指骨骨折,如果不能早期识别,这些骨折可能会感染并导致骨髓炎。