손톱 밑이나 발톱 밑에 피가 괼 때(손발톱 밑 혈종) Subungual hematoma

손발톱 밑이나 발톱 밑에 피가 괼 때(손발톱 밑 혈종)의 개요

외상으로 손톱 밑이나 발톱 밑에 피가 나서 손톱 밑이나 발톱 밑에 피가 괴면 손톱이나 발톱이 잠시 동안 몹시 아플 수 있다.
외상으로 손톱이나 발톱 밑에 피가 나서 괸 혈종을 적절히 제거해 치료.

않고 오랫동안 방치하면 손톱이나 발톱이 빠질 수 있고, 새 손톱이나
발톱이 정상적으로 날 수 없고, 때로는 손톱 기형이나 발톱 기형이 생길 있다.

손발톱 밑이나 발톱 밑에 피가 괼 때(손발톱 밑 혈종)의 치료

손톱 밑이나 발톱 밑에 피가 고인 정도에 따라 치료한다.
외상으로 손톱 밑이나 발톱 밑에 피가 나서 피가 괴고 아플 때는 외상을 입은 후 곧 페이퍼클립 끝을 알코올 램프 불에 빨갛게 달구거나 그 외 다른 종류의 불로 페이퍼클립 끝을 빨갛게 달군 후 그 페이퍼 클립 끝으로 피가 고인 손톱 부분이나 발톱에 1~2개의 구멍을 내면 그 구멍을 통해 손톱 밑에 괸 피가 나온다.
또는 소아청소년과나 응급실에서는 소작용 의료기구로 피가 고인 손톱 부분이나 발톱에 1~2개의 구멍을 내면 그 구멍을 통해 손발 톱 밑에 괸 피가 나온다.
이 치료법을 천공(Trephine)처치라고 한다.
손발톱 밑에 괴었던 피가 천공 구멍을 통과해 흘러나오면서 손톱 밑 혈종이 있는 손가락이나 발가락이 덜 아프고 쉽게 낫는다(출처; NEJM sep 2008 p.1037).

Subungual hematoma 손톱 밑이나 발톱 밑에 피가 괼 때(손발톱 밑 혈종)

When there is blood under the nail or under the toenail (a hematoma under the nail) Subungual hematoma

Overview of bleeding under the nail or under the nail (a hematoma under the nail)

If trauma causes bleeding under the nail or under the toenail and bleeding under the nail or under the toenail, the nail or toenail may become very painful for a while.
Treatment by appropriate removal of the hematoma caused by bleeding under the nail or toenail due to trauma.

▴ Photo 423. Blood accumulating under the nail. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP

▴ Photo 424. toes with blood under the toenails. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP
Nails or toenails may fall out if left unattended for a long time, and new nails or Toenails cannot fly normally, and sometimes nails or toenails are deformed. Treatment of bleeding under the nail or under the nail (hematoma under the nail)

▴ Photo 425. Light the paper clip. If you make a hole in the nail with the tip of a paper clip on fire, blood from the bottom of the nail can come out through the nail hole. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP

▴ Photo 426. Poke a hole in the nail under the nail with a paper clip heated on the fire to drain the blood under the nail. This treatment is called trephine treatment. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP
Treatment depends on how much blood is collected under the nails or under the toenails.
If the trauma causes bleeding under the nails or under the toenails, causing bleeding and pain, immediately after the trauma, heat the end of the paper clip red in an alcohol lamp or heat the end of the paper clip red with another type of fire, and then bleed with the end of the paper clip.
If one or two holes are made in the nail part or toenail that is stuck, blood will come out under the nail through the hole.
Or in the pediatrics and adolescents department or in the emergency room, if one or two holes are made in the nail or toenail where blood is collected as a small-acting medical device, blood will come out through the hole under the limb saw.
This treatment is called trephine treatment.
As the blood under the nail flows through the perforation hole, the finger or toe with a hematoma under the nail hurts less and heals easily (source; NEJM Sep 2008 p.1037).

출처 및 참조문헌

Emergency Pediatrics, A guide to ambulatory care, 5th edi. Roger M. Barkin, Peter Rosen, p.540

Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
Emergency care, Harvey grant, and Robert Murray
Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
Manual of Emergency Care

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3/2024