手部高压制冷剂气体注射伤

High-Pressure Refrigerant Gas Injection Injury to the Hand.

作者信息

Simmons Elizabeth, Vesselle Alexandre, Yildirim Baris, Bafus Blaine T

机构信息

From the Department of Orthopaedics and Sports Medicine, Mercy Health St. Vincent Medical Center, Toledo, OH (Dr. Simmons); the Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH (Dr. Vesselle); the Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, OH (Dr. Yildirim, Dr. Bafus); the Town Center Orthopaedics, Reston, VA (Dr. Yildirim); and the Louis Stokes Cleveland VA Medical Center, Cleveland, OH (Dr. Bafus).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2025 Jan 2;9(1). doi: 10.5435/JAAOSGlobal-D-24-00155. eCollection 2025 Jan 1.

DOI:10.5435/JAAOSGlobal-D-24-00155

PMID:39805075

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11703426/

Abstract

High-pressure injection injuries, although rare, are commonly discussed orthopaedic surgical emergencies. In many cases, high-pressure injection injuries can have detrimental effects on the patient. However, there are rare instances where surgical intervention may be more harmful than helpful. Here, we present a case report of a patient who sustained a high-pressure chemical refrigerant injection injury into the palm of his hand working on an air conditioning refrigeration unit. He was treated nonsurgically with excellent outcomes. The aim of this case report was to bring awareness to the potential nonsurgical management of high-pressure injection injuries in select circumstances.

摘要

高压注射伤虽然罕见，但却是骨科手术中常被讨论的紧急情况。在许多情况下，高压注射伤会对患者产生不利影响。然而，在极少数情况下，手术干预可能弊大于利。在此，我们报告一例患者，他在维修空调制冷机组时手部掌侧遭受高压化学制冷剂注射伤。他接受了非手术治疗，效果良好。本病例报告的目的是提高人们对特定情况下高压注射伤潜在非手术治疗方法的认识。