Department of Orthopedics, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Department of Plastic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Front Public Health. 2022 Apr 27;10:851175. doi: 10.3389/fpubh.2022.851175. eCollection 2022.
High-pressure injection injury of the hand is a rare but severe emergency, which requires full attention and timely treatment. However, the early symptoms may not be obvious. As the swelling and necrosis progress, the condition gradually worsens, and in severe cases, it may end with amputation. We report a particular case of a hand injection injury, which occurred to a worker who worked overtime to produce disinfectant during the Coronavirus Disease-19 (COVID-19) pandemic. Because of the chemical toxicity of the disinfectant and pressure's damage, although the emergency debridement was promptly performed, we still lost some fingers in the end. In the existing disinfection product manuals, we have not seen any tips on dealing with tissue injection injury. It may reduce workers' attention to injuries, leading to delays in emergency operations.
手部高压注射伤是一种罕见但严重的急症，需要充分关注和及时治疗。然而，早期症状可能不明显。随着肿胀和坏死的进展，病情逐渐恶化，严重情况下可能最终导致截肢。我们报告了一个手部注射伤的特殊病例，该病例发生在一名在 COVID-19 大流行期间加班生产消毒剂的工人身上。由于消毒剂的化学毒性和压力的损伤，尽管及时进行了急诊清创，但最终还是失去了一些手指。在现有的消毒剂产品手册中，我们没有看到任何关于处理组织注射伤的提示。这可能会降低工人对伤害的重视，导致急诊手术延误。
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