Shewell P C, Nancarrow J D
West Midlands Regional Plastic and Jaw Surgery Unit, Wordsley Hospital, Stourbridge.
BMJ. 1991 Dec 14;303(6816):1512-3. doi: 10.1136/bmj.303.6816.1512.
To study the circumstances of dog bites and identify risk factors.
Postal questionnaire survey and case note review of victims of dog bites referred between 1982 and 1989.
One referral based regional plastic surgery unit.
146 consecutive patients referred for primary treatment of dog bites, for whom current addresses were available for 133, 107 (81%) of whom returned the questionnaire.
The male to female ratio was 74:72; 79 (54%) patients were aged below 15 years. The commonest dogs producing bites were Staffordshire bull terriers (15 cases), Jack Russell terriers (13), medium sized mongrels (10), and Alsatians (nine). 82 of 96 (85%) dogs were male. 29 of 47 (62%) adults were bitten at home and 45 of 60 (75%) children at a friend's, neighbour's, or relative's house. 91 of 107 (85%) bites occurred in the dog's home. Bites occurred during playing with 13 (12%), petting 14 (13%), or waking 16 (15%) dogs. 45 (42%) bites were judged as unprovoked. 32 bites were identified as severe and 11 attacks as sustained.
Most victims are bitten by male dogs which they either own or have had frequent contact with, and the bite occurs in the dog's home.
研究犬咬伤情况并确定危险因素。
对1982年至1989年间转诊的犬咬伤受害者进行邮政问卷调查和病例记录回顾。
一个基于转诊的地区整形外科单位。
146例连续转诊接受犬咬伤初级治疗的患者，其中133例有当前地址，107例（81%）返回了问卷。
男女比例为74:72；79例（54%）患者年龄在15岁以下。造成咬伤最常见的犬种是斯塔福郡斗牛梗（15例）、杰克罗素梗（13例）、中型杂种犬（10例）和阿尔萨斯犬（9例）。96只犬中有82只（85%）为雄性。47例成年人中有29例（62%）在家中被咬伤，60例儿童中有45例（75%）在朋友、邻居或亲戚家被咬伤。107例咬伤中有91例（85%）发生在犬的家中。在与犬玩耍时发生咬伤的有13例（12%），抚摸时14例（13%），唤醒时16例（15%）。45例（42%）咬伤被判定为无端攻击。32例咬伤被确定为严重咬伤，11次攻击为持续性攻击。
大多数受害者被雄性犬咬伤，这些犬要么是他们自己的，要么是他们经常接触的，而且咬伤发生在犬的家中。
