Morgan W J, Leopold T, Evans R
J Hand Surg Br. 1984 Jun;9(2):194-6.
A prospective study was carried out on 164 consecutive cases presenting at the Accident Department with foreign bodies in the hand. The distal segment of the digits was the commonest site. The late, symptomatic presentation of patients, together with the development of symptoms in patients managed conservatively indicate that foreign bodies should be removed. General anaesthesia is rarely required, but an effective "block" with a tourniquet is necessary, as infiltration anaesthesia has a high failure rate, and secondary exploration a high complication rate. Glass fragments are almost always visible on plain x-rays.
对连续164例手部有异物并到急诊科就诊的病例进行了一项前瞻性研究。手指远节是最常见的部位。患者出现症状较晚，以及保守治疗患者出现症状，均表明异物应予以取出。很少需要全身麻醉，但使用止血带进行有效的“阻滞”是必要的，因为浸润麻醉失败率高，二次探查并发症发生率高。玻璃碎片在普通X线片上几乎总能看到。
