Suwansrinon Kanitta, Jaijaroensup Wipaporn, Wilde Henry, Sitprija Visith
Queen Saovabha Memorial Institute, Thai Red Cross Society, Bangkok 10330, Thailand.
Am J Trop Med Hyg. 2006 Aug;75(2):363-4.
Treating potentially rabies virus infected wounds requires the injection of rabies immunoglobulin into and around the wounds, followed by vaccination with an approved tissue culture rabies vaccine. A significant number of such bite wounds involves fingers where there is little space for expansion. Injecting immunoglobulin into such areas under pressure may induce a compartment syndrome caused by compromising circulation. We carried out a retrospective review and a prospective study of patients seen with digital bite injuries and found that it is a safe procedure if carried out with care by experienced staff.
治疗可能感染狂犬病病毒的伤口需要在伤口内及周围注射狂犬病免疫球蛋白，随后接种经批准的组织培养狂犬病疫苗。大量此类咬伤伤口位于手指部位，此处扩张空间很小。在压力下向这些区域注射免疫球蛋白可能会因血液循环受损而诱发骨筋膜室综合征。我们对有手指咬伤损伤的患者进行了回顾性研究和前瞻性研究，发现如果由经验丰富的工作人员小心操作，这是一个安全的程序。
