High Pressure Injury of the Hand: An Emergent Condition

高壓噴射傷是工業發達後所產生的工業傷害，由於傷口入口很小，往往造成病人輕忽傷害的嚴重性。對於此種工業傷害所射入的物質引起的組織破壞、感染、甚至截肢的命運，因此處理的迫切性及傷口的重建便非常重要。在過去八年的十五個高壓噴射傷病例資料中，4例嚴重需要截肢，3例需要交指皮辦或局部皮辦重建傷口缺損，1例需要顯微皮辦移植重建傷口缺損，3例需要肌腱移植或轉移手術。高壓噴射傷需要正確認知，應儘早清創處理，以減少進一步傷害。進而能採取重建手術，使手獲得功能保留與重建。

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並列摘要

Purpose: High-pressure injection injury has wide extent of injury although it initially presents with a small and harmless puncture of the finger or the hand. This study is to emphasize that prompt treatment is important to avoid mutilating and function-threatening complications. Materials and Methods: During the past 8 years (from January 1997 to January 2005), 15 patients suffered from high-pressure injection injury and obtained soft tissue defect after debridement. Results: Four cases were treated with amputation within nine days after injury. Three cases received cross finger flap or V-Y advancement flap to cover the finger tip defect and one case was treated by free flap for the extensive defect of the dorsal hand. Three cases received tendon reconstruction surgery. Conclusions: Ignoring high-pressure injection injury may result in gangrene and amputation of affected fingers. Recognition of the injury with adequate treatment is crucial for successful outcome. (J Plast Surg Asso R.O.C. 2006; 15:251~258)

並列關鍵字

high pressure injection injury ； hand ； gangrene ； amputation

國際替代計量

High Pressure Injury of the Hand: An Emergent Condition

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