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观察东南巴西南部海岸 314 例因黑海参(Echinometra lucunter)引起的人类损伤的初始临床表现和治疗反应。

Observation of initial clinical manifestations and repercussions from the treatment of 314 human injuries caused by black sea urchins (Echinometra lucunter) on the southeastern Brazilian coast.

机构信息

Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, São Paulo, SP, Brasil.

出版信息

Rev Soc Bras Med Trop. 2012 Jun;45(3):390-2. doi: 10.1590/s0037-86822012000300021.

DOI:10.1590/s0037-86822012000300021
PMID:22760142
Abstract

INTRODUCTION

Injuries caused by sea urchins are the most common caused by marine animals in humans in Brazil, with the black sea urchin (Echinometra lucunter) causing the most injuries to bathers.

METHODS

This study observed 314 human wounds with emphasis on the early observation of clinical signs and symptoms and their implications on the recommended treatment.

RESULTS

All the injuries were caused by black sea urchins and were observed in bathers. The lesions and the pain were associated with penetration of the spines; there was no early inflammation or pain without pressure on the wounded places. Complications arising from this kind on injury, including infections and foreign body granulomas, are associated with the permanence of the spines in the wounds.

CONCLUSIONS

The study confirmed that this kind of injury is the most common accident caused by aquatic animals in Brazil. The main therapeutical recommendation is early removal of the spines to prevent late complications, such as infections and the formation of foreign body granulomas.

摘要

简介

在巴西,由海胆引起的伤害是人类在海洋动物中最常见的伤害,其中黑棘海胆(Echinometra lucunter)对游泳者造成的伤害最多。

方法

本研究观察了 314 例人类伤口,重点是早期观察临床体征和症状及其对推荐治疗的影响。

结果

所有的伤害都是由黑棘海胆引起的,发生在游泳者身上。病变和疼痛与棘刺的穿透有关;受伤部位没有早期炎症或疼痛,没有压力。这种损伤引起的并发症,包括感染和异物肉芽肿,与棘刺在伤口中的持续存在有关。

结论

该研究证实,这种伤害是巴西最常见的水生动物造成的事故。主要的治疗建议是早期去除棘刺,以防止感染和形成异物肉芽肿等晚期并发症。

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