Department of Emergency Medicine, WVU Medicine, 1 Medical Center Drive, Box 9149, Morgantown, WV 26505, USA; Department of Family Medicine, WVU Medicine, 6040 University Town Center Drive, Morgantown, WV 26501, USA; Division of Physician Assistant Studies, Department of Human Performance, West Virginia University School of Medicine, 64 Medical Center Drive, Box 9226, Morgantown, WV 26505, USA.
Department of Family Medicine, WVU Medicine, 6040 University Town Center Drive, Morgantown, WV 26501, USA.
Prim Care. 2022 Mar;49(1):23-38. doi: 10.1016/j.pop.2021.10.008. Epub 2022 Jan 13.
Before repairing a laceration, consider the mechanism and severity of the injury. Gentle irrigation of the wound helps to remove microscopic infectious agents and larger debris. Not all foreign bodies are visible in plain radiographs. Certain wounds may be allowed to heal without operative intervention, but most patients prefer an approach using suture thread or tissue adhesive. Prophylaxis against tetanus, rabies, and/or bacterial infection should be considered. Clinical assessment of each wound is important to guide decisions about technique, anesthetic, suture material, and the interval period before nonabsorbable equipment can be removed.
在修复撕裂伤之前，需要考虑受伤的机制和严重程度。温和冲洗伤口有助于清除微观感染源和较大的碎屑。并非所有异物在普通 X 光片中都可见。某些伤口可以不进行手术干预而自行愈合，但大多数患者更喜欢采用缝线或组织粘合剂的方法。应考虑预防破伤风、狂犬病和/或细菌感染。对每个伤口进行临床评估对于指导技术、麻醉、缝线材料以及在不可吸收设备取出之前的间隔时间的决策非常重要。
