地震挤压伤对肢体骨折术后伤口愈合影响的临床观察

英文篇名：Clinical observation on the influence of earthquake crush injury on postoperative wound healing of extremity fractures
中文刊名：中国骨伤
英文刊名：China Journal of Orthopaedics and Traumatology
作者：陈福洪 ; 陈泽 ; 段恒琼 ; 万仲贤
英文作者：CHEN Fu hong ; CHEN Ze ; DUAN Heng qiong ; WAN Zhong xian.Department of Orthopaedics ; Suining TCM Hospital ; Suining 629000 ; Sichuan ; China
中文关键词：地震 ; 挤压综合征 ; 术后伤口 ; 愈合
英文关键词：Earthquake ; Crush syndrome ; Postoperative wound ; Healing
出版日期：2008-10-25
机构：遂宁市中医院骨科;
年：2008
期：10
出版单位：中国骨伤

摘要

目的:观察地震挤压伤对术后伤口愈合影响。方法:肢体在地震时曾被挤压而接受骨折内固定手术的患者28例为观察组;以地震时肢体未被挤压接受骨折内固定手术的患者27例为对照Ⅰ组,以同期本地骨折内固定手术的患者30例为对照Ⅱ组。分别检查尿常规、肌酸激酶、观察伤口并发症及伤口愈合情况。结果:各组尿颜色、尿常规、肌酸激酶没有明显差异,而观察组的伤口并发症、伤口愈合率与两个对照组均有差异。结论:地震挤压伤对术后伤口愈合有影响。
Objective:To observe the influence of earthquake crush injury on postoperative wound healing of extremity fractures.Methods:The study involved 85 patients with extremities fracture underwent internal fixation operation in 3 group,including 28 earthquake casualties with crush injuries in observation group,27 earthquake casualties without crush injuries in controlⅠgroup and 30 local patients during the same period in controlⅡgroup.Urine routine,blood creatine kinase(CK) and wound conditions of patients in 3 groups were observed respectively.Results:There was no significant difference in Urine rou-tine and blood CK between 3 groups and was significant difference in wound conditions between observation group and each control group.Conclusion:Earthquake crush injuries can influence the postoperative wound healing of extremity fractures.

引文

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