重新审视高压注射伤害的截肢率

Q3 Medicine Journal of Hand Surgery Global Online Pub Date : 2024-07-01 DOI:10.1016/j.jhsg.2024.04.007

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引用次数: 0

摘要

目的高压注射伤是一种罕见的潜在严重创伤，历来与高截肢率有关。本研究旨在评估单一机构的截肢率、涉及的材料和结果。方法对德克萨斯州中南部一家一级创伤中心在 2007 年至 2023 年期间的 53 个病例进行了回顾性分析。结果截肢率为 2.2。与油脂注射和油基涂料相比，乳胶基涂料的疗效更佳。结论这项研究表明，有必要重新评估高压注射伤的预后，并强调预后比以前认为的更为乐观。涂料材料的演变，尤其是乳胶漆的演变，可能与截肢率低于之前的报道有关。

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Revisiting Amputation Rates in High-Pressure Injection Injuries

Purpose

High-pressure injection injuries are a rare, and potentially serious, trauma that has historically been associated with high-amputation rates. This study aimed to assess the amputation rates, materials involved, and outcomes at a single institution.

Methods

A retrospective analysis of 53 cases at a level-1 trauma center in South Central Texas between 2007 and 2023 was conducted. Patient demographics, injury details, materials injected, surgical interventions, complications, and follow-up data were collected and analyzed.

Results

There was an amputation rate of 2.2. Latex-based paints showed more favorable outcomes when compared with grease injections and oil-based paints. There were also fewer reoperations and postoperative complications with latex-based paint injuries.

Conclusions

The study signals the need for a re-evaluation of high-pressure injection injury outcomes, highlighting a more optimistic prognosis than previously thought. The evolution of materials in paints, especially latex-based paints, may have been associated with a lower rate of amputation than what was previously reported.