幼儿手掌切割伤的特点与治疗

The characteristics and treatment for incised palm injury in children

目的 分析儿童手掌切割伤的特点及相应处理方法。方法 5例手掌切断伤患儿 ,分别有食、中、环指屈肌腱断裂 ,多合并正中神经损伤。 2例急诊病例Ⅰ期修复所有损伤组织 ,3例晚期病例修复神经和 /或屈指肌腱。结果 4例随访 2个月～ 3年 ,手指保护性感觉均恢复 ,总主动活动度(TAM)平均达 90 .0 % ,1例拇外展丧失。结论 儿童手掌切割伤致屈指肌腱断裂时 ,多合并正中神经损伤。急诊处理应力争全部修复损伤组织。Ⅱ期手术宜尽早进行 。

Objective To analyse the characteristics and treatment for incised palm injury in children.Methods From 1996 to 1999 , 5 cases with incised flexor tendon of 2 ,3 ,4 fingers associated with median nerve damage were admitted. The injuries were repaired in one stage on emergent treatment(3) or delayed(2).Results Four patients were followed up for a period from 2 months to 3 years. The sensation and motor function of the involved fingers recovered near normal . Total active movement (TAM) came up to 90% of the normal range.Conclusions The traumatic flexor tendon injury of palm in children is always associated with median nerve damage. A thorough examination of the soft tissue injuries is important to provide a basis for evaluation of repairing. An urgent complete restoration of the injuries followed by appropriate immobilization should be applied.