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手部异物存留的诊断与治疗

Diagnosis and treatment of retained foreign bodies in the hand.

作者信息

Anderson M A, Newmeyer W L, Kilgore E S

出版信息

Am J Surg. 1982 Jul;144(1):63-7. doi: 10.1016/0002-9610(82)90603-1.

DOI:10.1016/0002-9610(82)90603-1
PMID:7091533
Abstract

A retrospective review was conducted of 200 consecutive patients with foreign bodies in the hand seen between 1976 and 1982. Wood, glass, and metal accounted for 95 percent of the foreign bodies seen. The duration of follow-up ranged from 1 week to 3 years (average 6 weeks). Approximately 70 percent of the foreign bodies could be removed in either the office or the emergency room. The foreign bodies were removed anywhere from the day of injury to 20 years later. In 38 percent of the patients the diagnosis was missed by the initial treating physician, in many cases because a roentgenography of the injured area was not taken. Metal was visible in all of the radiographic studies obtained, glass in 96 percent, and wood in just 15 percent.

摘要

对1976年至1982年间连续收治的200例手部异物患者进行了回顾性研究。所见异物中,木材、玻璃和金属占95%。随访时间从1周到3年不等(平均6周)。约70%的异物可在诊室或急诊室取出。异物取出时间从受伤当天至20年后不等。38%的患者最初的治疗医生漏诊,很多情况下是因为未对受伤部位进行X线检查。在所有获得的影像学检查中,金属均可见,玻璃可见率为96%,而木材仅为15%。

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