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感染曲肌损伤的管理:一个叙事审查
Lamisah Seedat1, Papa Kyei1, Tatolo Sefeane1
1Department of Orthopaedic Surgery, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa.
Journal of hand and microsurgery
|February 27, 2026
概括
受感染的手曲肌损伤需要及时的抗生素治疗和延迟的修复. 对这些复杂病例的最佳结果包括在曲肌重建之前管理感染.
科学领域:
- 手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 骨科创伤的创伤情况
- 在手术中的传染病.
背景情况:
- 曲肌受伤是常见的手部创伤.
- 感染使这些伤害复杂化,使得修复成为一个挑战.
- 目前的指导方针缺乏专门关注感染曲肌损伤的管理.
研究的目的:
- 审查手曲肌受伤与感染的管理.
- 强调在这种情况下需要明确的指导方针.
- 改善患有感染曲肌损伤的患者的治疗结果.
主要方法:
- 进行全面的文献搜索.
- 包括过去20年的英语文章.
主要成果:
- 经验性抗生素被推用于受污染的伤口.
- 主要柔肌的修复是理想的,但往往因感染而延迟.
- 二次重建选择 (肌移植,移植,两阶段修复) 取决于受伤的具体情况.
结论:
- 受感染的伤口是曲肌损伤的常见并发症.
- 经验性抗生素对于复杂,受污染的伤口至关重要.
- 暂停初级修复,直到颗粒组织形成,并考虑二次选择是关键.
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