对106例连续人类咬伤损伤的前瞻性审计：病史采集的重要性。
Prospective audit of 106 consecutive human bite injuries: the importance of history taking.
作者信息
Wallace C G, Robertson C E
机构信息
Department of Plastic and Reconstructive Surgery, Queen Victoria Hospital, East Grinstead, West Sussex, UK.
出版信息
Emerg Med J. 2005 Dec;22(12):883-4. doi: 10.1136/emj.2004.021246.
OBJECTIVES
Some patients attempt to conceal human bites with factitious mechanisms of injury. Follow up questioning allows patients to modify their histories. This practice was prospectively audited.
METHODS
Patients with cutaneous wounds who did not present with a history of human bite were asked a follow up question. Those who then gave a history of human bite were noted.
RESULTS
Certain groups of patients with human bites were significantly more likely to provide a factitious history and/or delay presentation.
CONCLUSION
Follow up questioning dramatically increased the case-detection rate, prompting specific management.
目的
一些患者试图用虚构的受伤机制来隐瞒人咬伤情况。后续询问能让患者修改其病史。对这种做法进行了前瞻性审计。
方法
对那些没有人咬伤病史的皮肤伤口患者进行后续询问。记录那些随后给出人咬伤病史的患者。
结果
某些人咬伤患者群体更有可能提供虚构病史和/或延迟就诊。
结论
后续询问显著提高了病例检出率，促使采取特定的管理措施。
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