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患者青年男性,化工厂工人,1995年9月12日不慎被氢氟酸灼伤右手食指,次日入院治疗。入院时右手食指皮肤全部呈黑色硬痂,指甲凸起,甲下黑紫。手掌、手背红肿压痛。患者自诉疼痛难忍。诊断:右手食指氢氟酸Ⅲ°灼伤。 治疗经过 经常规消毒,患指根处做神经阻滞麻醉,行拔甲术。甲床肿胀呈黑紫色,有暗色血液不断渗出。将食指皮肤割开数刀,可见食指皮肤、皮下组织全呈黑褐色,有的部位损伤深达关节囊和肌腱。用双氧水清洗后外涂烧伤湿润膏,厚度2mm,不包
Patients with young men, chemical plant workers, September 12, 1995 accidentally burned hydrofluoric acid right index finger, the next day admission to hospital. The right index finger on admission to the skin were all black scab, raised nails, black under the nail. Palm, redness and tenderness in the back of the hand. Patient complained of pain. Diagnosis: Right index finger hydrofluoric acid Ⅲ ° burns. After treatment by conventional disinfection of the root cause at the nerve block anesthesia, the line of pull surgery. A bed swelling was dark purple, dark blood constantly seeping. The index finger cut open the number of knives, showing the index finger skin, subcutaneous tissue was dark brown, and some parts of the injury deep joint capsule and tendon. After cleaning with hydrogen peroxide moisturizing cream coating, thickness 2mm, do not pack