Patel J, Couli R, Harris P A, Percival N J
Department of Plastic Surgery, Charing Cross Hospital, London, UK.
J Hand Surg Br. 1998 Aug;23(4):482-4. doi: 10.1016/s0266-7681(98)80127-7.
Over a 6-month period 147 consecutive deep hand lacerations referred to a plastic surgery department were explored in 136 adult patients. At operation 121 complete tendon divisions, and 72 nerve injuries were found. Accident and emergency (A&E) officers diagnosed only 64% of tendon divisions compared with 84% for the admitting hand surgeons. Nerve injuries were more accurately diagnosed, 87% by A&E officers compared with 94% by hand surgeons. These findings support the view that significant palmar hand lacerations should be referred for a hand surgery opinion.
在6个月的时间里，对136例成年患者转诊至整形外科的147例连续性手部深部裂伤进行了探查。手术中发现121例肌腱完全断裂，72例神经损伤。事故与急救（A&E）人员仅诊断出64%的肌腱断裂，而手部外科住院医生的诊断率为84%。神经损伤的诊断更为准确，A&E人员的诊断率为87%，手部外科医生为94%。这些发现支持以下观点，即严重的手掌部裂伤应转诊至手部外科医生处进行评估。
