阿尔伯塔省卡尔加里市收治的熊袭击伤病例：其处理与后遗症
Bear maulings treated in Calgary, Alberta: Their management and sequelae.
作者信息
Frank Ryan C, Mahabir Raman C, Magi Enzio, Lindsay Robert L, de Haas William
机构信息
Division of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, Alberta.
出版信息
Can J Plast Surg. 2006 Fall;14(3):158-62. doi: 10.1177/229255030601400301.
BACKGROUND
Between 1994 and 2005, seven patients underwent surgery at the Foothills Medical Centre, Calgary, Alberta, for injuries sustained in bear maulings. The purpose of the present study was to document these cases and add to the literature on the management and the potential complications of bear attacks.
METHODS
Data were collected retrospectively from charts.
RESULTS
Seven patients were treated for injuries ranging from lacerations and puncture wounds to fractures and avulsed tissue. On average, patients underwent three operations and spent 22 days in hospital. Mean time from attack to arrival at the trauma centre was 19 h. Irrigation, debridement and intravenous antibiotics did not prevent wound infections in two patients. Six of seven patients developed acute stress disorder, and one of these patients went on to suffer from post-traumatic stress disorder. Complications ranged from infection to pulmonary embolism.
CONCLUSIONS
Bear attacks result in a spectrum of injuries. Infections and psychiatric disorders are common sequelae.
背景
1994年至2005年间，7名患者在阿尔伯塔省卡尔加里市山麓医疗中心因被熊袭击受伤而接受手术。本研究的目的是记录这些病例，并补充有关熊袭击的治疗及潜在并发症的文献。
方法
从病历中回顾性收集数据。
结果
7名患者因受伤接受治疗，损伤范围从撕裂伤、穿刺伤到骨折及组织撕脱。患者平均接受了三次手术，住院22天。从袭击发生到抵达创伤中心的平均时间为19小时。两名患者接受冲洗、清创和静脉使用抗生素治疗后仍发生伤口感染。7名患者中有6名出现急性应激障碍，其中1名发展为创伤后应激障碍。并发症包括感染到肺栓塞。
结论
熊袭击会导致一系列损伤。感染和精神障碍是常见的后遗症。
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