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[意外圆锯损伤]

[Accidental circular saw injuries].

作者信息

Bonte W, Goldberg R

出版信息

Z Rechtsmed. 1982;89(3):173-80. doi: 10.1007/BF01873799.

Abstract

Two hundred twenty-six accident reports and medical statements concerning circular-saw injuries were evaluated. All injuries occurred on hands. Left and right hands were hurt share and share alike. Among the 125 isolated one-finger injuries an obvious stepwise decrease in frequency from thumb to little finger and from fingertip to finger basis was found. The more proximal the wound lay, the more frequent a localization diagonal or parallel to finger axis was registered. Most accidents hurt skin or soft tissue. Bone lesions occurred less frequent and were characterized by splinters or fractures instead of cuts. Subtotal or total amputations were described in some cases. All lay on fingertips. Nearly the same was seen in two-finger cases. Among three- to five-finger injuries (often diagonal) a few cases of total amputation at the base phalanx were described. The severeness of injuries increases with the number of fingers hurt. A complete cut-like sharp-edged amputation was never seen in the material presented.

摘要

对226份关于圆锯伤的事故报告和医疗声明进行了评估。所有损伤均发生在手部。左手和右手受伤情况相同。在125例单指损伤中,从拇指到小指以及从指尖到指根部,损伤频率呈明显的逐步下降趋势。伤口位置越靠近近端,与手指轴线呈对角或平行方向的损伤定位就越常见。大多数事故造成皮肤或软组织损伤。骨损伤较少见,其特征为碎片或骨折而非切割伤。某些病例描述了部分或完全截肢情况。所有截肢均发生在指尖。两指损伤情况与此相近。在三指至五指损伤(通常为对角方向)中,有几例描述了近节指骨基部的完全截肢。损伤的严重程度随受伤手指数量的增加而加重。在所呈现的资料中从未见过类似完全切割状的锐利边缘截肢情况。

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