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1978年8月至1984年12月,我们用新月形切开和一般切开治疗脓肿性指头炎(以下称瘭疽)54例,前者疗效满意,介绍如下。 54例瘭疽中男23例,女31例。最小17岁,最大54岁。皮下瘭疽26例,腱瘭疽17例,骨瘭疽11例。新月形切开31例,一般切开23例。一、麻醉 1.基础麻醉:用5%杜冷丁注射液1.5～2ml肌肉注射,30分钟后手术。 2.阻滞麻醉:常规消毒,以2%普鲁卡因8～10ml于患指第一指节基底部两侧进针,深达骨膜注入,5分钟后麻醉满意。二、手术操作: 新月形切开系先作一般切口,再从切口近端开
August 1978 to December 1984, we use crescent cut and general incision for the treatment of abscessitis (hereinafter referred to as ulcer) 54 cases, the former effect is satisfactory, described below. 54 cases of ulcer in 23 males and 31 females. Minimum 17 years old, maximum 54 years old. Subcutaneous ulcer in 26 cases, 17 cases of tendon ulcer, bone ulcer in 11 cases. Crescent-shaped incision in 31 cases, general incision 23 cases. First, anesthesia 1. Basic anesthesia: 5% dolantin injection 1.5 ~ 2ml intramuscular injection, 30 minutes after surgery. Block anesthesia: routine disinfection, with 2% procaine 8 ~ 10ml in the first finger section on both sides of the base into the needle, deep periosteal injection, 5 minutes after anesthesia satisfaction. Second, the surgical operation: crescent-shaped incision for general incision, and then open from the proximal incision