Glass K D
J Hand Surg Am. 1982 Jul;7(4):388-94. doi: 10.1016/s0363-5023(82)80150-0.
One hundred thirty-eight patients with acute hand infection (81% deep) treated from 1970 to 1980 in hospital were reviewed. Resolution time of infection was slow, 8 days or longer in 57% of 135 patients and 15 days or longer in 28%. Such slow resolution occurred in infection of closed anatomical spaces and included 50% of all pulp space and joint infections, 23% of tenosynovitis, and 24% of subcutaneous dorsal had infections. There was a direct correlation between increasing treatment delay and slower resolution of infections in pulp spaces, palmar spaces, joints, and tendon sheaths. If the mean treatment delay was greater than a brief 2 1/2 days, 69% of tenosynovitis showed delayed resolution. Other factors associated with the rate of resolution were adequacy of surgical drainage, efficacy of antibiotics, and associated diabetes mellitus.
对1970年至1980年期间在医院接受治疗的138例急性手部感染患者（81%为深部感染）进行了回顾性研究。感染的消退时间较慢，135例患者中有57%的患者感染消退时间为8天或更长，28%的患者为15天或更长。这种缓慢消退发生在封闭解剖空间的感染中，包括所有指髓间隙和关节感染的50%、腱鞘炎的23%以及手背皮下感染的24%。治疗延迟增加与指髓间隙、掌间隙、关节和腱鞘感染的消退减慢之间存在直接相关性。如果平均治疗延迟超过短暂的2.5天，69%的腱鞘炎显示消退延迟。与消退率相关的其他因素包括手术引流是否充分、抗生素的疗效以及是否合并糖尿病。
