Beatty M E, Zook E G, Russell R C, Kinkead L R
Plast Reconstr Surg. 1982 Jan;69(1):96-102.
Corn picker injuries, although more infamous, are less frequent than those produced by the grain auger. The former rarely occurs in other than adult males who are responsible for their carelessness, whereas the grain auger injury frequently involves innocent and uninformed youths. We report 4 arms, 4 forearms, 5 hands, 24 digits, 2 legs, 4 feet, and 4 toes injured by a grain auger in 24 patients. Multiple-level injuries accounted for the larger number of injuries than patients. Twelve amputations or devascularizations were reattached or revascularized successfully. Not all amputations had attempts at reattachment because of the severe crushing of the part and/or stump that was present in all patients to varying degrees. All wounds were heavily contaminated and were treated with voluminous irrigation and adequate debridement. Serial debridements were needed prior to coverage in several patients. Prevention is the best treatment, but given early aggressive care, many injured can regain a high level of function.
玉米采摘机损伤虽然更声名狼藉，但比谷物螺旋输送机造成的损伤频率更低。前者很少发生在除了因粗心大意而导致受伤的成年男性之外的人群中，而谷物螺旋输送机损伤经常涉及无辜且不知情的青少年。我们报告了24例患者中因谷物螺旋输送机导致4条手臂、4条前臂、5只手、24根手指、2条腿、4只脚和4个脚趾受伤。多级损伤的数量比患者数量更多。12例截肢或血管离断患者成功进行了再植或血管重建。并非所有截肢患者都尝试进行再植，因为所有患者的肢体和/或残端均存在不同程度的严重挤压伤。所有伤口均严重污染，采用大量冲洗和充分清创进行治疗。部分患者在进行覆盖之前需要多次清创。预防是最佳治疗方法，但给予早期积极治疗，许多伤者能够恢复较高水平的功能。
