Rothrock S G, Howard R M
Department of Emergency Medicine, Loma Linda University Medical Center, California 92350.
Pediatr Emerg Care. 1990 Dec;6(4):293-5. doi: 10.1097/00006565-199012000-00011.
We report a case of delayed presentation of vascular injury from a superficial dog bite of the upper extremity in a five-year-old male. This example of a significant arterial injury, in the setting of seemingly minor trauma, is the first known report of blunt arterial trauma owing to a dog bite in any age group. Blunt arterial trauma in children is rare unless associated with fractures, dislocations, or massive crush injuries. Additionally, persistent pulses following arterial occlusion are rare and can potentially lead to misdiagnosis of a serious arterial injury. A brief review of pediatric blunt vascular injuries is presented with implications for diagnosis and management of such cases.
我们报告了一例5岁男性因上肢浅表性犬咬伤导致血管损伤延迟出现的病例。在看似轻微创伤的情况下发生这种严重动脉损伤的例子,是任何年龄组中因犬咬伤导致钝性动脉创伤的首例已知报告。儿童钝性动脉创伤很少见,除非与骨折、脱位或大面积挤压伤相关。此外,动脉闭塞后仍有持续脉搏的情况很罕见,可能会导致对严重动脉损伤的误诊。本文简要回顾了儿童钝性血管损伤,并对这类病例的诊断和管理提出了建议。