Frazier W H, Miller M, Fox R S, Brand D, Finseth F
JACEP. 1978 Jul;7(7):265-8. doi: 10.1016/s0361-1124(78)80336-0.
During a four-month period, 1,164 patients presented to the surgical section of our Emergency Services (ES) with chief complaints involving the hand. Patient records were analyzed for several variables including demographics, diagnosis and therapeutic procedures. Lacerations were the most frequent injury, 61.5% (n=716) with deep structure injuries present in 6.1% (n=44). Of deep structure injuries, 36.4% were tendon lacerations, 27.2% were nerve injuries, and 36.4% were compound fractures. "Bites" accounted for 5.2% (37) of all lacerations, eight of which were human bites. Fractures were the second most frequent injury, (11.4%) and involved 143 separate bones. Infections were present in 7%; over half were paronychias. There were 42 (3.6%) thermal injuries.
在四个月的时间里，1164名患者因手部相关主诉前来我们急诊服务部（ES）的外科就诊。对患者记录进行了多项变量分析，包括人口统计学、诊断和治疗程序。撕裂伤是最常见的损伤，占61.5%（n = 716），其中6.1%（n = 44）存在深部结构损伤。在深部结构损伤中，36.4%为肌腱撕裂伤，27.2%为神经损伤，36.4%为复合骨折。“咬伤”占所有撕裂伤的5.2%（37例），其中8例为人类咬伤。骨折是第二常见的损伤（11.4%），涉及143块不同的骨头。7%的患者存在感染；超过一半为甲沟炎。有42例（3.6%）热烧伤。
