| 闭合性皮肤脱套伤的诊治 |
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Received:July 12, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵凤朝 |
ZHAO Feng-chao |
东南大学附属徐州医院骨科,江苏徐州221009 |
Department of Orthopaedics Surgery,the Affiliated Xuzhou Hospital of Southeast University,Xuzhou 221009,Jiangsu,China |
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| 马超 |
MA Chao |
东南大学附属徐州医院骨科,江苏徐州221009 |
Department of Orthopaedics Surgery,the Affiliated Xuzhou Hospital of Southeast University,Xuzhou 221009,Jiangsu,China |
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| 期刊信息：《中国骨伤》2006年19卷，第3期，第160-161页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨闭合性皮肤脱套伤的诊断与治疗方法。
方法:1997-2005年收治的31例闭合性皮肤脱套伤,对其临床表现、确诊方法进行分析,研究漏诊原因。7例采用穿刺抽液;11例采用开窗,脱套处皮下放置多孔负压引流管;13例于术中,在脱套处皮下放置多孔负压引流管治疗。
结果:31例患者中,11例漏诊。17例表现为均匀肿胀的患者中,9例漏诊。14例伴有骨折的患者中,10例漏诊。所有患者的脱套皮肤均与皮下愈合,1例治疗前有小部分皮肤坏死的患者,坏死面积无扩大,2例手术皮下置管患者出现切口缘少许坏死。
结论:闭合性皮肤脱套伤伴骨折或表现为均匀肿胀时较易漏诊。穿刺抽液、开窗,脱套处皮下放置多孔负压引流管及术中在脱套处皮下放置多孔负压引流管均是很好的治疗方式。 |
| [关键词]:皮肤 创伤和损伤 外科手术 诊断 |
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| Diagnosis and treatment of closed skin avulsion injuries |
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Abstract:
Objective:To explore the diagnosis and treatment of closed skin avulsion injuries.
Methods:Among reviewed 31 patients with closed skin avulsion from 1997 to 2005,7 patients were treated with puncture and drainage,11 patients with fenestration and setting aspiration drainage,and 13 patients with repair of subcutaneous and etting aspiration drainage.The signs and symptoms as well as finial diagnosis methods of all the patients were analysed to research the causes of missed diagnosis.
Results:There were 11 patients were missed diagnosis.Among 17 patients with even swelling,9 patients were missed diagnosis.Within 14 patients combined with fracture,10 patients were missed diagnosis.All the lesions were healed.Preoperative cutaneous necrosis in small area of 1 patient did not enlarge after treatment.Little necrosis along incision was found in two patients who were treated with setting aspiration during operation.
Conclusion:There is high rate of misdiagnosis in closed skin avulsion injuries.Even swelling or combination with fracture is the main cause.Puncture,aspiration and setting aspiration during operation are satisfactory selection to treat closed skin avulsion injuries. |
| KEYWORDS:Skin Wounds and injuries Surgical procedures,operative Diagnosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵凤朝,马超.闭合性皮肤脱套伤的诊治[J].中国骨伤,2006,19(3):160~161 |
| 英文格式: | ZHAO Feng-chao,MA Chao.Diagnosis and treatment of closed skin avulsion injuries[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(3):160~161 |
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