手部急性化脓性感染（Acute pyogenic infection of hand）.docVIP

手部急性化脓性感染（Acute pyogenic infection of hand） Acute pyogenic infection of hand Company： Abstract: acute pyogenic infection of the hand Keyword: hand acute purulent infection Paronychia (paronychia), whitlow (felon), palm (suppurative tenosynovitis) suppurative tenosynovitis, bursitis (burSitis) and deep palmar space infection are acute purulent hand of common clinical infection. The main pathogen is Staphylococcus aureus. Most hand infection caused by trauma, such as acupuncture, even if the nails are too deep, agnail new skin agnail minor trauma, but also the development of severe infection. Because the anatomic relationship is complex, infection can spread to the deep and make the drainage difficult. Infection caused by tendon and tendon constriction or scar formation, will seriously affect the function of the hand. It is flexible, sensitive, and has a fine anatomical structure. The pathological changes and clinical manifestations of hand infections are closely related to anatomy and physiology. There are several characteristics: 1. palm skin is more obvious than the skin epidermal thickness and hyperkeratosis, so the palmar subcutaneous purulent infection after penetrating the dermis to form a dumbbell shaped abscess in the epidermal layer, when treatment is difficult to achieve adequate drainage only skin incision. The 2. hand of the palmar surface and deep dermis phalangette periosteum, between the proximal and middle joint tendon sheath and deep palmar fascia, a vertical fibre cable connection, the subcutaneous tissue is divided into several relatively closed space, is not easy to spread around the infection, so the subcutaneous tissue pressure is high due to severe pain, appear obvious symptoms. In the site of infection fester before they can invade and deep tissue, such as phalangette, flexor tendon sheath and palmar bursa and deep palmar gap caused by osteomyelitis, tenosynovitis, bursitis and deep palmar space infection. 3., the anatomy of the palmar surface