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手部高压注水伤:一种被低估的骨筋膜室综合征机制。

High-Pressure Water Injection Injury to the Hand: An Underestimated Mechanism of Compartment Syndrome.

作者信息

Rehman Abdul, Khan Muhammad Yahya, Hameed Raja Ansar, Bibi Fazeelah, Amjad Muhammad

机构信息

Department of Emergency Medicine, St. Luke's General Hospital, Killkenny, IRL.

Department of General Surgery, Allied Hospital, Faisalabad, PAK.

出版信息

Cureus. 2025 Aug 18;17(8):e90383. doi: 10.7759/cureus.90383. eCollection 2025 Aug.

DOI:10.7759/cureus.90383
PMID:40970073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12442515/
Abstract

High-pressure injection injuries, although rare, pose a significant risk of severe soft tissue damage and compartment syndrome, especially when involving the hand and fingers. We present the case of a 25-year-old male patient who accidentally sustained a high-pressure water jet injury while using a power washer, leading to digital compartment syndrome of the thumb and index finger. Prompt recognition, early surgical decompression, and multidisciplinary care led to a favorable outcome. This case highlights the deceptive appearance of such injuries and underscores the need for urgent surgical intervention to prevent permanent functional impairment or limb loss. Early diagnosis, supported by clinical findings and radiological imaging, is crucial to improving outcomes in high-pressure injection injuries.

摘要

高压注射伤虽然罕见,但会带来严重软组织损伤和骨筋膜室综合征的重大风险,尤其是涉及手部和手指时。我们报告一例25岁男性患者,他在使用高压清洗机时意外遭受高压水射流损伤,导致拇指和示指的指骨筋膜室综合征。及时识别、早期手术减压和多学科护理带来了良好的结果。该病例突出了此类损伤具有欺骗性的外观,并强调了紧急手术干预以防止永久性功能障碍或肢体丧失的必要性。由临床发现和放射影像学支持的早期诊断对于改善高压注射伤的预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/521f9371a333/cureus-0017-00000090383-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/202a73dd6ea0/cureus-0017-00000090383-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/cb572e735fab/cureus-0017-00000090383-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/6278b34779d6/cureus-0017-00000090383-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/48808b9e5975/cureus-0017-00000090383-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/521f9371a333/cureus-0017-00000090383-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/202a73dd6ea0/cureus-0017-00000090383-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/cb572e735fab/cureus-0017-00000090383-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/6278b34779d6/cureus-0017-00000090383-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/48808b9e5975/cureus-0017-00000090383-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/12442515/521f9371a333/cureus-0017-00000090383-i05.jpg

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