摘要
目的探讨严重犬咬伤创口的处理方法。方法回顾性分析256例严重犬咬伤患者的临床资料。所有伤口均在麻醉下采用大容量冲洗袋对创口实施充分冲洗,行Ⅰ期或延期缝合。正规注射狂犬病人免疫球蛋白或狂犬疫苗。结果伤口Ⅱ/甲愈合253例(98.8%),颜面部创口瘢痕符合美容要求,肌腱关节损伤者无明显功能障碍。所有病例均无狂犬病或破伤风发生。结论选择适当的麻醉下用大容量冲洗袋冲洗液清洗创口和行Ⅰ期或延期缝合,绝大部分严重犬咬伤创口均可达甲级愈合。正规注射狂犬病人免疫球蛋白、狂犬疫苗,能有效预防狂犬病发生。
Objective To summarize the experience in the management of severe dog-bitten wounds in 256 cases. Methods Clinical data of 256 patients with serious dog-bitten wounds were retrospectively analyzed. Under regional or general anesthesia, the wounds were sufficiently washed with large volume of sterile fluid. The rabies humman immune globulin and wild dog vaccine were injected in all cases. Results The wounds healed with grade II/A in 253（98. 8%） cases. The scars of facial wounds were met hairdressing requirements. No residual disfunction happened in the patients with tendon joint damages. Conclusion The grade II/A healing of the dog-bitten wounds can be obtained as long as the wounds have been cleaned under proper anesthesia by throughly washing with large volume of sterile solution. The rabies can be prevented by injection of rabies vaccine in standardization.
出处
《江苏医药》
CAS
北大核心
2013年第7期830-831,共2页
Jiangsu Medical Journal
关键词
犬咬伤
清创缝合
Dog-bitten wounds
Debridement and suture
