指尖损伤:急诊1例报告

Saeful Anwar
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摘要

指尖损伤是手部最常见的损伤之一。损伤包括皮肤和软组织、骨骼(远端指骨)、指甲和指甲的损伤。指尖神经丰富,非常敏感。如果不及时和精确的治疗,手指损伤会干扰手的复杂功能,并可能导致永久性畸形和残疾。本报告旨在报告指尖损伤患者的处理。男性,25岁,右食指指尖损伤。局部状态检查结果发现第二指远端指骨掌侧阔面有3x1,5厘米的撕裂伤,边缘不平整,伴有压痛,手指活动无限制。患者经药物治疗和手术治疗后,采用V-Y皮瓣法局部重建指端损伤。
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Fingertip injury: A case report in emergency departments
Fingertip injury is one of the most common injuries to the hand. Injuries can include damage to the skin and soft tissue, bones (distal phalanx), nails and nailbed. The fingertips are rich in nerves and very sensitive. Without prompt and precise treatment, finger injuries can interfere with the complex function of the hand and may result in permanent deformity and disability. This report aims to report management in patients with fingertip injury. A 25-year- male patient with fingertip injury in the area of the right index finger. The results of the localis status examination found a laceration measuring 3x1,5 cm with uneved edges in aspectus volar in the distal phalanx in the II digit along with tenderness and no limited finger movement. Patients treated with pharmacotherapy and operative measures for the reconstruction of fingertip injuries, with a local flap using the V-Y flap method.
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