Popa Daniel, Van Hoesen Karen
Department of Emergency Medicine, University of California, San Diego, San Diego, California.
Department of Emergency Medicine, University of California, San Diego, San Diego, California; Division of Hyperbaric Medicine, University of California, San Diego, San Diego, California; Division of Wilderness Medicine, University of California, San Diego, San Diego, California.
J Emerg Med. 2016 Nov;51(5):552-556. doi: 10.1016/j.jemermed.2016.05.066. Epub 2016 Sep 9.
Shark bites are rare but sensational injuries that are covered in the lay press but are not well described in the medical literature.
We present the case of a 50-year-old man who sustained two deep puncture wounds to his thigh from a great white shark in the waters surrounding Isla de Guadalupe off the coast of Baja California, Mexico, during a caged SCUBA dive. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We discuss our strategy of closing the wounds in a delayed primary fashion 24 hours after injury, our antibiotic choices, and the patient's course and review marine pathogens and appropriate antibiotic coverage.
鲨鱼咬伤虽罕见但极具轰动性，此类事件常见于通俗报刊，然而医学文献中对此描述并不详尽。
我们报告一例50岁男性病例，该患者在墨西哥下加利福尼亚海岸附近的瓜达卢佩岛海域进行笼中潜水时，被一条大白鲨咬伤大腿，造成两处深部穿刺伤。急诊医生为何应关注此事？：我们讨论了伤后24小时以延迟一期缝合方式闭合伤口的策略、抗生素的选择、患者的病程，并回顾了海洋病原体及合适的抗生素覆盖范围。
