莫雷尔-拉瓦利埃损伤——一例病例报告及文献综述
Morel Lavallée Lesion - A case report and review of literature.
作者信息
Pikkel Y Y, Hasan M J, Ben-Yehuda Raz D, Ben Naftali Yeela, Duek O S, Ullman Y
机构信息
Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel.
Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel.
出版信息
Int J Surg Case Rep. 2020;76:103-106. doi: 10.1016/j.ijscr.2020.09.158. Epub 2020 Sep 25.
INTRODUCTION
Morel-Lavallée lesion (MLL) is an uncommon entity, by which shearing forces result in a closed degloving lesion. This can result in an infected hematoma and lead to a life-threatening situation.
PRESENTATION OF CASE
We present a case of a 59-year-old patient who presented to our emergency department. This patient had a crushing injury, and later was found to have an infected MLL. The patient was treated with surgical drainage, and 2 split thickness skin grafts. The patient fully healed.
DISCUSSION
We review the current literature regarding MLL and diagnostic tools in order to accurately and rapidly diagnose this often-missed entity. Special emphasis is given to the treatment of MLL, with the current knowledge as reflected in the literature.
CONCLUSIONS
It is important for caregivers to know the diagnostic steps and pitfalls of this elusive diagnosis in order to diagnose and treat MLL quickly, before it turns into a life-threatening state for the patient.
引言
莫雷尔-拉瓦利埃损伤（MLL）是一种罕见的病症，剪切力可导致闭合性脱套伤。这可能会导致感染性血肿，并引发危及生命的情况。
病例介绍
我们报告一例59岁患者，该患者前来我院急诊科就诊。该患者遭受挤压伤，后来被发现患有感染性MLL。患者接受了手术引流和2次中厚皮片移植治疗。患者完全康复。
讨论
我们回顾了有关MLL和诊断工具的当前文献，以便准确、快速地诊断这种常被漏诊的病症。特别强调了MLL的治疗，并参考了文献中反映的当前知识。
结论
护理人员了解这种难以捉摸的诊断的诊断步骤和陷阱非常重要，以便在MLL发展为危及患者生命的状态之前迅速进行诊断和治疗。
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