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首页> 外文期刊>The Journal of hand surgery, European volume >THE WASH-OUT TECHNIQUE IN THE MANAGEMENT OF DELAYED PRESENTATIONS OF EXTRAVASATION INJURIES
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THE WASH-OUT TECHNIQUE IN THE MANAGEMENT OF DELAYED PRESENTATIONS OF EXTRAVASATION INJURIES

机译：管理外伤伤害延迟表现的洗手技术

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摘要

Late presentation of extravasation injuries from chemotherapeutic agents is not uncommon. Twenty-four patients with extravasation injuries presented with upper limb extravasation but without any skin necrosis between the second and the fourteenth day following injury day. We flushed out the infiltrated area with 300-500 ml of normal saline through multiple stab incisions. All 24 patients responded well to the procedure and no further complications occurred. The average time for the complete healing of the wounds was 15 days. All the patients were able to continue their chemotherapy treatment without delay. Patients were followed up for a mean period of 13 months. They all recovered with no functional deficit and only mild scarring. Early recognition and immediate treatment of extravasation injuries are of paramount importance. In cases with no evidence of skin necrosis, a delayed wash-out procedure appears to be very effective in removing the extravasated drug and minimizing further tissue damage.
机译：晚期出现由化疗药物引起的外渗损伤并不少见。 24名外渗损伤患者在受伤后第二天至第14天出现上肢外渗，但没有任何皮肤坏死。我们通过多个刺切口用300-500 ml生理盐水冲洗了浸润区域。所有24名患者对该手术反应良好，并且没有发生进一步的并发症。伤口完全愈合的平均时间为15天。所有患者均能立即继续化疗。对患者进行平均13个月的随访。他们全部康复，无功能缺陷，仅有轻度疤痕。尽早发现并立即治疗外渗损伤至关重要。在没有皮肤坏死迹象的情况下，延迟冲洗程序对于去除外渗药物和最大程度地减少进一步的组织损伤似乎非常有效。

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