One case of extensive high-pressure injection injury of hand caused by polyurethane material.
10.3760/cma.j.cn121094-20210802-00382
- Author:
Jiang Bo NIE
1
;
Jun Jie LI
1
;
Ming Chao JIN
1
;
Tian Shun FANG
1
;
Jian You LI
1
Author Information
1. Department of Orthopedics, Huzhou Central Hospital (Huzhou Hospital Affiliated to zhejiang University) , Huzhou 313000, China.
- Publication Type:Journal Article
- Keywords:
Construction materials;
Diagnosis;
High-pressure injection injuries;
Polyurethane;
Treatment
- MeSH:
Finger Injuries/surgery*;
Humans;
Polyurethanes/adverse effects*;
Plastic Surgery Procedures;
Skin Transplantation;
Surgical Flaps/surgery*;
Treatment Outcome
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2022;40(9):697-699
- CountryChina
- Language:Chinese
-
Abstract:
This article reports a patient with extensive high-pressure injection injury of the hand caused by mistaken injection of polyurethane material into the index finger, who was diagnosed and treated in the Department of Orthopedics of Huzhou Central Hospital in 2019. Both the digital artery and digital nerve were involved, and the polyurethane involved the right palm along the flexor tendon sheath of the index finger and wrist. Due to the lack of X-ray development, the scope of the first debridement was small, and the blood supply to the fingertip was poor. Finally, the patient's right index finger was amputated due to infection and necrosis. MR or B-ultrasound should be perfected before operation to clarify the extent of polyurethane involvement. The initial thorough debridement or multiple debridements are necessary to improve the prognosis. If the blood supply of the fingers is poor, the blood supply can be reconstructed by skin flap transplantation.
