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1案例资料杨某,男,21岁。2015年8月25日23时许,被人致伤要求鉴定伤情。法医检查:足掌有一12cm不规则形缝合创口,创缘整齐。查阅其住院病历:受伤当时感右足底部出血,伴右足拇趾麻木,以“右足挫裂创”入院。专科检查:右足底内侧可见长约5cm挫裂伤口,深达肌肉层,伴出血,右足拇趾皮肤浅感觉减退,跖屈不能,背伸功能存在。即行右足挫裂伤扩创探查术+右足踇长屈肌腱吻合术+右足踇展肌,踇短屈肌修复术。术中分别于创口远近端扩创,探查见:
1 case information Yang, male, 21 years old. August 25, 2015 23 am, was injured asked to identify the injury. Forensic examination: foot palm has a 12cm irregular shaped suture wound, wound margin neatly. Check their hospital records: the right heel was injured when the bottom of the bleeding, with right foot numbness to “right foot deformity hit ” admission. Specialist examination: the right foot can be seen about the inner side of 5cm laceration wound, deep muscle layer, with bleeding, right foot hallux skin superficial feeling diminished, plantar flexion can not, dorsiflexion function exists. That line right foot contusion flaw exploration exploration + right foot flexor tendon anastomosis + right foot extensor muscle, short flexor muscle repair. Surgery were expanded in the proximal and distal wounds, exploration see: