Jansen J O, Holm R
Ortopaedkirurgisk afdeling, Vejle Sygehus.
Ugeskr Laeger. 1993 Aug 9;155(32):2474-5.
Based on two cases of accidental high-pressure air injection injury to the hand, we describe pathology, symptoms and therapeutic principles. Despite nontoxicity of injected air, the importance of acute surgical intervention must be emphasized, as there is a risk of high-pressure soft tissue damage. The treatment suggested is: 1) systemic medication including tetanus toxoid and antibiotics, 2) adequate incision, decompression, exploration, drainage and debridement under either general, plexus or i.v. anaesthesia. Postoperatively, the hand should be elevated, and a program of physical mobilisation should be started as soon as possible.
基于两例手部意外高压空气注射伤的病例，我们描述了其病理、症状及治疗原则。尽管注入的空气无毒，但必须强调急性手术干预的重要性，因为存在高压软组织损伤的风险。建议的治疗方法为：1）全身用药，包括破伤风类毒素和抗生素；2）在全身麻醉、臂丛麻醉或静脉麻醉下进行充分的切开、减压、探查、引流及清创。术后，手部应抬高，并尽快开始物理康复计划。
