Joslin Jeremy, Biondich Amy, Walker Kara, Zanghi Nicole
Department of Emergency Medicine (Drs Joslin, Biondich, and Walker).
Department of Emergency Medicine (Drs Joslin, Biondich, and Walker).
Wilderness Environ Med. 2017 Dec;28(4):355-361. doi: 10.1016/j.wem.2017.08.002. Epub 2017 Oct 10.
Exposure to leeches in the wilderness setting is common. Leeches may attach themselves to exposed skin or pass through one of the body's orifices and attach internally. The condition of leech attachment is known as hirudiniasis, which can result in serious morbidity and, rarely, mortality. A comprehensive review of the literature was performed to detail the prevention of leech attachment, as well as both anecdotal and studied methods of removal. Complications from leech attachments include ongoing bleeding, wound infection, and poor wound healing. Although medicinal leeches are the most well-studied variety, this review examines all aspects of leech attachment, prevention, and management.
在野外环境中接触水蛭很常见。水蛭可能会附着在暴露的皮肤上，或通过身体的某个孔窍进入并在体内附着。水蛭附着的情况被称为水蛭病，这可能导致严重的发病，很少情况下会导致死亡。我们对文献进行了全面综述，以详细阐述水蛭附着的预防方法，以及各种传闻和经过研究的去除方法。水蛭附着引起的并发症包括持续出血、伤口感染和伤口愈合不良。尽管药用水蛭是研究最多的种类，但本综述探讨了水蛭附着、预防和处理的各个方面。
