非金属异物。诊断和治疗困难

IF 0.6 Q4 SURGERY Polish Journal of Surgery Pub Date : 2023-01-01 DOI:10.5604/01.3001.0016.3171
Krzysztof Kowalik, A. Gruszczyńska, Karolina Knychalska, Konrad Kaźmierczak, A. Modrzejewski
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引用次数: 0

摘要

导言:处理可能存在异物的伤口是一个主要问题。对于在x射线上看不见的物体来说尤其如此。其中最常见的是木头和玻璃。异物的大小也很重要。即使是最小的异物留下,也会造成永久性的局部组织损伤或导致全身感染,如败血症或永久性的局部组织损伤。三分之一的患者在初次分娩时没有发现异物。[1]作者介绍了4例外伤后在伤口中留下木头或玻璃形状的异物的患者。这些异物的诊断和清除造成了许多困难。受伤后,异物没有完全从伤口中清除,导致炎症过程。本文就日常医疗实践中非金属异物的处理进行了探讨。
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Non-metallic foreign bodies - diagnostic and therapeutic difficulties
Introduction: The management of wounds where the presence of a foreign body is possible can be a major problem. This is especially true for bodies that are not visible on x-ray. The most common of these are wood and glass. The size of the foreign body is also important. If even the smallest foreign body is left behind, it can cause permanent local tissue damage or contribute to a systemic infection such as sepsis or permanent local tissue damage. Foreign body recognition in one third of patients does not occur during primary provision. [1]The authors present four patients in whom a foreign body in the form of wood or glass was left in the wound after trauma. The diagnosis and removal of these foreign bodies caused many difficulties. The foreign bodies were not completely removed from the wounds after the injury, leading to an inflammatory process. The authors discuss the management of non-metallic foreign bodies in everyday medical practice.
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