Is fingertip phlogistic best treatment method?

summary

Suppurative dactylitis: it is the subcutaneous suppurative infection that occurs in the distal phalanx. Because of the infection, the whole pulp of the finger is highly swollen and looks like a snake head, so it is called "snake head furuncle" or "gangrene". Because the subcutaneous tissue of the pulp of the finger is closely arranged, the tissue is very swollen at the beginning of the infection. At the same time, the tension in the cavity is significantly increased, the pain is severe, and the blood supply of the distal phalanx is blocked. Is fingertip phlogistic best treatment method? Let's talk about it

Is fingertip phlogistic best treatment method?

When fingertip pain, examination found that swelling is not obvious, can use hot saline immersion for many times, each time about 20 minutes; It can also be used for external application (refer to the treatment of paronychia). Sulfonamides or antibiotics should be used as appropriate.

After the above treatment, the inflammation often subsides. If there is a jump mark, the tension of the finger is significantly increased, that is, it should be cut decompression, drainage, can not wait for fluctuations before surgery. Although there is little or no pus after incision, it can reduce the pressure of the closed cavity of the finger and reduce the pain and complications.

During the operation, a longitudinal incision should be made on the side of the affected finger. The incision should be as long as possible, but not beyond the junction of the distal and middle segments. Medical education should be carried out to avoid injury to the tendon sheath. During the incision, the fibrous septum in the subcutaneous tissue was forcefully cut off, and the fat tissue protruding outside the incision was cut off, so as not to affect the drainage. If the abscess cavity is large, it can be drained through mouth to mouth, but the fish mouth incision should not be made to avoid postoperative scar affecting the infection of the affected finger.

matters needing attention

In case of infection, antibiotics should be taken in time, because there are abundant metacarpal facial nerves and lack of elasticity of subcutaneous tissue. After infection, blood vessels may be compressed, resulting in phalangeal ischemia and necrosis. There will be more serious consequences.