骨科英文书籍精读（169）｜手外伤（8）
CLOSURE
The tourniquet is deflated and bipolar diathermy is used to stop bleeding. Haematoma formation leads to poor healing and tendon adhesions. Unless the wound is contaminated, the skin is closed – either by direct suture without tension or, if there is skin loss, by skin grafting. Skin grafts are conveniently taken from the inner aspect of the upper arm. If tendon or bare bone is exposed, this must be covered by a rotation or pedicled flap. Sometimes a severely mutilated
finger is sacrificed and its skin used as a rotation flap to cover an adjacent area of loss.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
tourniquet /ˈtɜːrnəkət/n. [外科] 止血带；压脉器；压血带
deflate /dɪˈfleɪt; ˌdiːˈfleɪt/vt. 放气；使缩小；紧缩通货；打击；使泄气vi. 缩小；物价下降
bipolar /ˌbaɪˈpoʊlər/adj. 有两极的，双极的
diathermy /ˈdaɪəˌθɜːrmi/n. 透热疗法
Haematoma /,hi:mə'təumə, ,hem-/n. [病理] 血肿
rotation or pedicled flap旋转或带蒂皮瓣
pedicle/ˈpedɪkl/n. 蒂；[动] 肉茎；花梗
百度翻译：
关闭伤口
止血带放气，双极透热止血。血肿形成导致愈合不良和肌腱粘连。除非伤口被污染，否则皮肤是封闭的，要么是直接缝合而不绷紧，要么是植皮。从上臂内侧取皮片很方便。如果肌腱或裸骨外露，必须用旋转或带蒂皮瓣覆盖。有时严重残缺手指被处死，其皮肤被用作旋转皮瓣来覆盖邻近的缺损区域。