33例手部高压油漆注射伤的临床分析

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1、大连医科大学硕士学位论文TheclinicalanalysisofHigh—-PressurePaintInjectionInjuriesofthehand：areportof33casesMasterdegreecandidate：ChaoYanSupervisor：ProfessorMozhenLiuMajor：SurgeryAbstractObjeetive：Throughanalysingtheclinicaldataandreviewingtheliterature．todiscussingthemorbidity，symptoms，au

2、xiliaryexamination，diagnosisandtreatmentmethods，andtoimproveOurknowledgeofHigh—PressurePaintInjectionInjuriesofthehand(HPPII)．Methods：Throughsystematicalretrospectiveanalysisof3casesofTheFirstandTheSecondAffiliatedHospitalofDaLianMedicalUniversity,DaLianMunicipalCentralHospita

3、landAffiliatedZhongShanHospitalofDaLianUniversityfromApril2003toApril2013，retrospectivelyanalyzedthecases’morbiditydata(age，gender，occupation，theinjectionsite)，clinicaldata(thelatencytimebetweeninjuryandtreatment，relevantauxiliaryexamination，surgicalapproach，postoperativeinfec

4、tion)，andpostoperativefollow-up，tofindoutandanalyzethecases’prognosis．Results：33caseswasincludedinOurresearch，mostofthemwereworkersusinghigh—pressurepaintgun；Only1casewasfemale；Themeanageis30．9years(range，12to49years)；Withrioexception，thenon-dominanthandWasinjured，andthemostfr

5、equentlysitewasindexfingerin14cases(42．4％)，otherssiteswerethepalmin1cases(33．3％)，thumbfmgerin4cases(12．1％)，middlefingerin3cases(9．1％)，andringfingerin1case(3．O％、．AllcasestookX—rayexaminationintheemergency,andallreportsshowedradiopaquematerialunderskin．Themeantimefrominjurytotre

6、atment大连医科大学硕士学位论文was6．27hours(range，1hourto18hours)．12casessuturedwoundduringthefirstdebridement．4cases(12．1％)receivedamputation，and3casesofthemreceivedrepeateddebridementbeforeamputation．VacuumSealingDrainage(VSD)wasappliedin1cases，3casesreceivedposteriorinterosseousflapand2

7、casesreceivedskingraftingdermepenthesis．Otherscasesweretreatedwellbyrepeateddebridementanddelayedclosure．Postoperative，18cases’woundexudationwascollectedtoculture，only2casesappliedVSDwerereportednegative，andothers’reportswerepositive．Thefollow-uptimeis1year，inadditionto3cases，

8、theremainingcaseswerefollowedwell．ActivityofhandisassessedbyT