Stevenson J
Accident and Emergency Department, Newcastle General Hospital, UK.
Injury. 1995 Apr;26(3):151-3. doi: 10.1016/0020-1383(95)93491-y.
Subcutaneous emphysema affecting a limb in isolation is rare. Three cases of subcutaneous emphysema caused by a sucking wound of the limb are presented. Differentiation from infection with a gas-forming organism is imperative. This distinction can be made if a number of factors are taken into consideration. These include, concise knowledge of the history and mechanism of injury, and in particular, full appreciation of the amount of energy transfer causing the wound, the macroscopic appearance of the wound, the presence or absence of systemic symptoms, the time from injury to the development of subcutaneous emphysema, and the radiographic appearance of the soft tissues.
孤立性肢体皮下气肿很少见。本文报告了3例因肢体吸吮伤导致的皮下气肿病例。必须与产气菌感染相鉴别。如果考虑到一些因素，就可以做出这种区分。这些因素包括，对损伤病史和机制的简要了解，特别是对造成伤口的能量转移量、伤口的宏观外观、全身症状的有无、从受伤到皮下气肿出现的时间以及软组织的影像学表现有充分认识。
