BibTex RIS Kaynak Göster

Elin Yüksek Basınçlı Likit Kristal Enjeksiyon Yaralanması: Olgu Sunumu

Yıl 2014, Cilt: 5 Sayı: 5, 158 - 160, 01.05.2014

Öz

Giriş: Elin yüksek basınçlı enjeksiyon yaralanmaları dokular üzerinde
yıkıcı etkiye sahip olup, etkilenen elde ciddi fonksiyon kaybı ya da
ampütasyona neden olabilir. Bu çeşit yaralanmalarda, etkilenen
bölgede genellikle ağrısız ve ufak bir lezyon bulunduğundan
yaralanmanın ciddiyetini tahmin etmek oldukça güç olabilir.
Olgu Sunumu: Elli sekiz yaşında erkek hasta, basınçlı hava
tabancasıyla sol eline likid kristal enjekte etmesi nedeniyle
acil servisimize başvurdu. Vital bulguları stabil olan hastanın
muayenesinde sol el palmar yüz tenar bölgede 4 mm boyutunda
lineer giriş deliği mevcuttu. Sistemik zehirlenme bulguları olmayan
hastaya tetanoz proflaksisi ve geniş spektrumlu antibioterapi
uygulandı. Çekilen el manyetik rezonans görüntülemede yaygın
doku ödemi ve yabancı cisim tespit edilen hastaya ortopedi
bölümü tarafından operasyon önerildi.
Sonuç: Sanayi bölgelerine yakın olan acil servislerde el yaralanmaları
sıklıkla başvuru sebebi olup özellikle enjeksiyon yaralanmalarında
enjekte edilen materyalin neden olduğu fiziksel hasarın yanı sıra,
ciddi sistemik zehirli etkilerinin de bulunduğu unutulmamalıdır.
Enjekte edilen maddenin içeriği öğrenilerek zehir danışma merkezine
danışılmalı ve mevcut ise hastaya antidot verilmelidir. Enjekte edilen
maddenin giriş yerinde ve yayıldığı dokularda gelişebilecek bir
enfeksiyonun prognozu kötü yönde etkileyebileceği unutulmamalı
ve hastalara geniş spektrumlu antibiyotikler ve tetanoz proflaksisi
başlanmalıdır. Yaralanmanın ciddiyeti belirlenmeli; hafif yaralanmalar
dolaşım kontrolü yapılarak, orta ve ciddi yaralanmalar ise cerrahi
yöntemler kullanılarak tedavi edilmelidirler.

Kaynakça

  • Rappold G, Rosenmayr E. High-pressure injection injuries of the hand. Pathogenesis, problems and therapy. Handchir Mikrochir Plast Chir. 2001; 33: 332-41. [CrossRef]
  • Tempelman T, Borg D, Kon M. Verwonding van de hand door een hogedrukspuit: vaak grote onderhuidse schade. Ned Tijdschr Geneeskd 2004; 148: 2334-38.
  • Verhoeven N, Hierner R. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Strategies Trauma Limb Reconstr. 2008; 3: 27-33. [CrossRef]
  • Lewis H, Clarke P, Kneafsey B, Brennen MA. 10-year review of high-pressure injection injuries to the hand. J Hand Surg 1998; 23: 479-81. [CrossRef]
  • Sirio CA, Smith JS Jr, Graham WP. High-pressure injection injuries of the hand. A review. Am Surg 1989; 55: 714-8.
  • Stoffelen D., De Smet L., Broos P. Delayed diagnosis of high-pressure injection injuries to the finger. A case report and review of the literature. Acta Orhop Belg 1994; 60: 332-3.
  • Wieder A, Lapid O, Plakht Y, Sagi A. A Long term follow-up of high-pressure injection injuries to the hand. Plast Reconstr Surg 2006; 117: 186-9. [CrossRef]
  • Hart RG, Smith GD, Haq A. Prevention of high-pressure injection injuries to the hand. Am J Emerg Med. 2006; 24: 73-6. [CrossRef]
  • Valentino M, Rapisarda V, Fenga C. Hand injuries due to high-pressure injection devices for painting in shipyards: circumstances, management and outcome in twelve patients. Am J Ind Med 2003; 43: 539-42. [CrossRef]

High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report

Yıl 2014, Cilt: 5 Sayı: 5, 158 - 160, 01.05.2014

Öz

Introduction: High-pressure injection injuries of the hand have destructive effects on tissues, which can cause loss of function or amputation of the hand. With these kinds of injuries, because they present with a painless and small lesion on the affected site, it may be considerably difficult to predict the severity of the injury.Case Report: A 58-year-old male patient was admitted to the hospital with the complaint of injection of liquid crystal with a high-pressure injection into the left hand. On physical examination, his vital signs were stable; a linear 4-mm entrance orifice was present on the thenar zone. Tetanus prophylaxis and antibiotherapy were administrated with the absence of evidence of systemic intoxication. Operation was suggested to the patient, who had expansive tissue edema and a foreign body in the magnetic resonance imaging.Conclusion: Hand injuries are a common cause of admittance in emergency services, and we remember that the physical injury caused by the injected material may also have several systemic toxic effects. The contents of the injected material should be known and consulted at a toxic consultant center, and antidotes should be administered. It should be considered that an infection developing at the zone of the injection might worsen the prognosis by spreading. Tetanus prophylaxis and antibiotics should be administered. Severity of the injury should be determined; mild injuries should be followed up with circulation control, and moderate and severe injuries should be treated by using surgical techniques

Kaynakça

  • Rappold G, Rosenmayr E. High-pressure injection injuries of the hand. Pathogenesis, problems and therapy. Handchir Mikrochir Plast Chir. 2001; 33: 332-41. [CrossRef]
  • Tempelman T, Borg D, Kon M. Verwonding van de hand door een hogedrukspuit: vaak grote onderhuidse schade. Ned Tijdschr Geneeskd 2004; 148: 2334-38.
  • Verhoeven N, Hierner R. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Strategies Trauma Limb Reconstr. 2008; 3: 27-33. [CrossRef]
  • Lewis H, Clarke P, Kneafsey B, Brennen MA. 10-year review of high-pressure injection injuries to the hand. J Hand Surg 1998; 23: 479-81. [CrossRef]
  • Sirio CA, Smith JS Jr, Graham WP. High-pressure injection injuries of the hand. A review. Am Surg 1989; 55: 714-8.
  • Stoffelen D., De Smet L., Broos P. Delayed diagnosis of high-pressure injection injuries to the finger. A case report and review of the literature. Acta Orhop Belg 1994; 60: 332-3.
  • Wieder A, Lapid O, Plakht Y, Sagi A. A Long term follow-up of high-pressure injection injuries to the hand. Plast Reconstr Surg 2006; 117: 186-9. [CrossRef]
  • Hart RG, Smith GD, Haq A. Prevention of high-pressure injection injuries to the hand. Am J Emerg Med. 2006; 24: 73-6. [CrossRef]
  • Valentino M, Rapisarda V, Fenga C. Hand injuries due to high-pressure injection devices for painting in shipyards: circumstances, management and outcome in twelve patients. Am J Ind Med 2003; 43: 539-42. [CrossRef]
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA36AE43CK
Bölüm Case Report
Yazarlar

Melis Efeoğlu Bu kişi benim

Serkan Emre Eroğlu

Serhad Ömercikoğlu Bu kişi benim

Haldun Akoğlu Bu kişi benim

Özge Onur Bu kişi benim

Arzu Denizbaşı Bu kişi benim

Yayımlanma Tarihi 1 Mayıs 2014
Gönderilme Tarihi 1 Mayıs 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 5 Sayı: 5

Kaynak Göster

APA Efeoğlu, M., Eroğlu, S. E., Ömercikoğlu, S., Akoğlu, H., vd. (2014). High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report. Journal of Emergency Medicine Case Reports, 5(5), 158-160.
AMA Efeoğlu M, Eroğlu SE, Ömercikoğlu S, Akoğlu H, Onur Ö, Denizbaşı A. High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report. Journal of Emergency Medicine Case Reports. Mayıs 2014;5(5):158-160.
Chicago Efeoğlu, Melis, Serkan Emre Eroğlu, Serhad Ömercikoğlu, Haldun Akoğlu, Özge Onur, ve Arzu Denizbaşı. “High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report”. Journal of Emergency Medicine Case Reports 5, sy. 5 (Mayıs 2014): 158-60.
EndNote Efeoğlu M, Eroğlu SE, Ömercikoğlu S, Akoğlu H, Onur Ö, Denizbaşı A (01 Mayıs 2014) High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report. Journal of Emergency Medicine Case Reports 5 5 158–160.
IEEE M. Efeoğlu, S. E. Eroğlu, S. Ömercikoğlu, H. Akoğlu, Ö. Onur, ve A. Denizbaşı, “High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report”, Journal of Emergency Medicine Case Reports, c. 5, sy. 5, ss. 158–160, 2014.
ISNAD Efeoğlu, Melis vd. “High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report”. Journal of Emergency Medicine Case Reports 5/5 (Mayıs 2014), 158-160.
JAMA Efeoğlu M, Eroğlu SE, Ömercikoğlu S, Akoğlu H, Onur Ö, Denizbaşı A. High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report. Journal of Emergency Medicine Case Reports. 2014;5:158–160.
MLA Efeoğlu, Melis vd. “High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report”. Journal of Emergency Medicine Case Reports, c. 5, sy. 5, 2014, ss. 158-60.
Vancouver Efeoğlu M, Eroğlu SE, Ömercikoğlu S, Akoğlu H, Onur Ö, Denizbaşı A. High-Pressure Liquid Crystal Injection Injury of the Hand: Case Report. Journal of Emergency Medicine Case Reports. 2014;5(5):158-60.