儿童跑步机擦伤临床特征

Clinical characteristics of treadmill abrasion in children

目的分析儿童跑步机擦伤的临床特点。方法回顾性分析2017年8月—2019年8月武汉市第三医院暨武汉大学附属同仁医院收治的12例跑步机擦伤患儿的病历资料。统计患儿的性别、年龄、伤后就诊时间、受伤环境及原因、擦伤部位、擦伤面积、擦伤深度、创面治疗方法及结局。结果(1)本组患儿中男5例、女7例,年龄为2~6岁。3例患儿伤后当天就诊,9例患儿伤后7~15 d就诊。(2)本组患儿均在家中受伤,主要为在父母使用跑步机时接触运行中的跑步机擦伤,接触部位主要为后侧履带轮轴与下缘金属板之间的缝隙处。(3)本组患儿均存在手部擦伤,示指、中指、环指为常见受累手指,擦伤面积为2 cm×2 cm^8 cm×5 cm,均为深Ⅱ度及以上擦伤。(4)本组患儿主要于门诊治疗(9例),行保守治疗(10例);11例患儿局部形成瘢痕,经抗瘢痕治疗及功能锻炼后康复情况良好,无明显功能障碍。结论跑步机擦伤患儿手最易受伤,且示指、中指、环指常受累;创面面积一般较小,且多为深度擦伤。

Objective To analyze the clinical characteristics of treadmill abrasion in children.Methods The medical records of 12 children with treadmill abrasion who were admitted to Tongren Hospital of Wuhan University&Wuhan Third Hospital(hereinafter referred to as the author′s unit)from August 2017 to August 2019 were retrospectively analyzed.The data of gender,age,time of seeing a doctor after injury,injury environment and cause,abrasion site,abrasion area,abrasion depth,and wound treatment method and outcome of children were analyzed.Results(1)The children included 5 males and 7 females,with the age of 2 to 6 years.Three children were treated on the same day after injury,and 9 children were treated 7 to 15 days after injury.(2)All the children were injured at home,and the abrasion was mainly caused by touching the running treadmill when their parents were using it.The contact area was mainly the gap between the rear track axle and the metal plate at the lower edge.(3)All the children had abrasion in the hands.The index finger,middle finger,and ring finger were the main involved fingers.The area of the abrasion was 2 cm×2 cm to 8 cm×5 cm,all of them were deep-partial thickness and above.(4)The children were mainly treated in outpatient department(9 children),and 10 children were conducted with conservative treatment.Eleven children had local scar formation,after anti-scar treatment and functional exercise,they recovered well without obvious dysfunction.Conclusions Hands in those children are the most vulnerable part of treadmill abrasion injury,with the index finger,middle finger,and ring finger being frequently involved.The wound area is generally small,and most of the wounds are deep abrasion injuries.