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目的分析地震灾区铁钉刺伤发病,总结地震灾区铁钉刺伤治疗经验。方法分析四川平武县南坝镇“5·12”地震后125例铁钉刺伤的临床资料。结果125例铁钉刺伤者中男97例,女28例,年龄6～65岁,86例为当地居民,39例为外来救援人员。就诊时间34例于伤后6h内,45例于6～12h内,33例在12～24h内,13例于24h后。受伤部位103例在足部,12例在小腿,10例在手掌。11例仅刺入皮肤,48例深及浅筋膜,57例深及肌肉和肌腱。9例穿透手掌或足掌。出现感染表现27例,125例伤员均接受彻底冲洗,清创,引流,注射破伤风抗毒素和抗厌氧菌抗生素。125例均治愈。结论铁钉刺伤在木结构房屋普遍的地震灾区常见。应尽早治疗,预后较好。
Objective To analyze the incidence of nail-nail injuries in earthquake-stricken areas and to sum up the experience of nail-stab wounds in earthquake-stricken areas. Methods The clinical data of 125 cases of nail-stab wound after the May 12 earthquake in Nanba Town, Pingwu County, Sichuan Province were analyzed. Results There were 97 males and 28 females with the age of 6 to 65 years old. Among them, 86 were local residents and 39 were external rescue workers. 34 cases were treated within 6 hours after injury, 45 cases were within 6 ~ 12 hours, 33 cases were within 12 ~ 24h and 13 cases were after 24h. 103 cases of injuries in the foot, 12 cases in the lower leg, 10 cases in the palm. Only 11 cases penetrated the skin, 48 cases of deep and shallow fascia, 57 cases of deep muscle and tendon. 9 cases penetrated the palm or paw. Infections occurred in 27 cases, 125 patients were completely washed, debridement, drainage, injection of tetanus antitoxin and anti-anaerobic antibiotics. 125 cases were cured. Conclusion The nail-stab injury is common in the earthquake-stricken areas in wooden houses. Should be treated as soon as possible, the prognosis is good.