Sturm J T, Cicero J J
Postgrad Med. 1986 Oct;80(5):97-103. doi: 10.1080/00325481.1986.11699559.
The primary care physician can accurately diagnose hand injuries by obtaining a thorough patient history and performing a complete physical examination of the hand. When the severity of injury is doubtful, immobilization in a splint with next-day referral is appropriate. Immediate consultation should be obtained with nerve or vascular damage, fracture-dislocation injuries, open fractures, substantial skin loss, or flexor tendon injuries at or distal to the wrist.
初级保健医生通过全面了解患者病史并对手部进行完整的体格检查，能够准确诊断手部损伤。当损伤的严重程度存疑时，用夹板固定并在次日转诊是合适的。如果存在神经或血管损伤、骨折脱位伤、开放性骨折、大面积皮肤缺损或腕部及腕部远端的屈肌腱损伤，应立即进行会诊。
