Zielińska-Kaźmierska Bogna, Wieczerzak Leszek, Kozioł Agnieszka, Majkowska Karolina, Arkuszewski Piotr, Manowska Bogusława
Pol Przegl Chir. 2014 Aug;86(8):364-9. doi: 10.2478/pjs-2014-0065.
Being bitten by a dog can have serious health effects. That is why, never underestimate even the smallest soft tissue injuries inflicted by aggressive animals. This incident may have an impact on the further condition of a patient. From our first aid will also depend the aesthetic and functional effect of the scar on the face. We should pay attention to the use of antibiotic prophylaxis. The aim of the study was to perform the analysis of the soft tissue bitten injuries made by dogs in patients treated in the years 2004‑2009 in the Clinic of Cranio-Maxillo-Facial and Oncological Surgery in Łódź. The most frequent attacked areas were analyzed in the cases of single and multiple face wounds. The dependence of the dog attacks and the alcohol consumption by the victims. The use of an early antibiotic prophylaxis and the number of the infectious complications.
The material studied is a group of 26 patients, including 17 women and 9 men. In the majority patients were older than 20 years old.
The analysis of our data shows that most of the victims were aged 19-30 and 51-60 years. 14 patients have been mutilated on one area of the face, the remaining patients at least two areas. Most injuries underwent upper or lower lip. In all cases, the initial supply has been applied to the wounds. Antibiotic prophylaxis was used in 23 patients. In one of the other three cases, patient who have not been applied to the prevention of complications in the form of phlegmon face. Half of the attack dogs have been known to the victims. All patients had implemented prevention of tetanus, or held-to-date vaccinations. In eight cases, patients reported that at the time of the event they were under the influence of alcohol.
Primary supply of bitten wounds of face at the moment seems to be the standard. In our study, in cases where patients has been treated with an antibiotic, there was no case of infection in the wound. Late complication in the form of phlegmon occurred in one patient who had not used prophylaxis. As the most of the authors note lower lip is the most vulnerable for the bite in the case of adult people. Analysis of our data is consistent with these reports. It has also been found that people under the influence of alcohol are often attacked by unknown dogs.
被狗咬伤会对健康产生严重影响。这就是为什么，即使是攻击性动物造成的最小的软组织损伤也绝不能被低估。这一事件可能会对患者的后续状况产生影响。患者面部疤痕的美观和功能效果也将取决于我们的急救措施。我们应注意使用抗生素预防。本研究的目的是对2004年至2009年在罗兹颅颌面与肿瘤外科诊所接受治疗的患者中被狗咬伤的软组织损伤进行分析。分析了单处和多处面部伤口病例中最常被攻击的部位。狗攻击与受害者饮酒之间的相关性。早期抗生素预防的使用情况以及感染并发症的数量。
所研究的材料为一组26名患者，其中包括17名女性和9名男性。大多数患者年龄超过20岁。
我们的数据分析表明，大多数受害者年龄在19至30岁和51至60岁之间。14名患者面部的一个区域受到损伤，其余患者至少两个区域。大多数损伤发生在上唇或下唇。在所有病例中，伤口均进行了初期处理。23名患者使用了抗生素预防。在另外三例中的一例中，患者未进行预防，出现了面部蜂窝织炎形式的并发症。一半的攻击犬为受害者所熟知。所有患者都进行了破伤风预防或接种了最新疫苗。在八例中，患者报告事件发生时他们处于酒精影响之下。
目前对面部咬伤伤口进行初期处理似乎是标准做法。在我们的研究中，接受抗生素治疗的患者伤口未出现感染病例。一名未使用预防措施的患者出现了蜂窝织炎形式的晚期并发症。正如大多数作者所指出的，在成年人中，下唇在被咬伤的情况中最易受伤。我们的数据分析与这些报告一致。还发现受酒精影响的人经常被陌生狗攻击。
