Rometti Mary, Mangel Patricia
Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, NJ.
J Educ Teach Emerg Med. 2020 Apr 15;5(2):V4-V6. doi: 10.21980/J8NM0P. eCollection 2020 Apr.
High-pressure injection injuries present to trauma centers a few times each year, typically involving the patient's non-dominant hand.1-6 Symptoms may include progressive pain, numbness, swelling of the affected area, and decreased range of motion.2,6-8 These injuries are important to recognize because the initial injury can involve damage to ligaments, tendons, and neurovascular structures.1-5 Pressure increases, from the injected material and subsequent tissue swelling, can result in vascular injury and compartment syndrome.1,2,5 Antibiotics and prompt surgical evaluation are vital because high-pressure injection injuries are considered a surgical emergency.1,2,7-9.
High-pressure injection injuries, hand injuries, orthopedics.
高压注射伤每年会有几次被送至创伤中心,通常累及患者的非优势手。1 - 6症状可能包括进行性疼痛、麻木、受影响区域肿胀以及活动范围减小。2, 6 - 8认识到这些损伤很重要,因为初始损伤可能涉及韧带、肌腱和神经血管结构的损伤。1 - 5注射物质以及随后的组织肿胀导致的压力增加,可引发血管损伤和骨筋膜室综合征。1, 2, 5抗生素和及时的手术评估至关重要,因为高压注射伤被视为外科急症。1, 2, 7 - 9。
高压注射伤、手部损伤、骨科。