Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India.
Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India.
Injury. 2020 Sep;51(9):2082-2085. doi: 10.1016/j.injury.2020.06.032. Epub 2020 Jun 20.
Reports of injuries caused by bear attacks are scarce in the Himalayan region of India, such as Uttarakhand, which is surrounded by hills and thick forests. We retrospectively studied 18 patients attacked by Himalayan black and sloth bears to understand the pattern of the attacks and their management.
Patients attacked by bears between January 2018 to December 2019 were retrospectively studied.
Most of the patients were of low socioeconomic status. The incidence was highest between June and December. The attacks mostly caused soft tissue injuries. There were also fractures of facial bones noted in some cases, but there was no mortality. The best outcomes were found in those cases that were managed with generous tissue preservation, rather than aggressive debridement. We could also follow the bear attack pattern. Himalayan black bears and sloth bears were found to be involved in the attacks.
Injuries due to bear attacks mainly affect the face and neck. Although there were no cases of mortality in this study, facial disfigurement had a long-lasting impact on survivors. Tissue preservation and early reconstruction had the best outcomes.
在喜马拉雅山脉地区，如印度的北阿坎德邦，周围环绕着丘陵和茂密的森林，有关熊袭击造成的伤害的报告很少。我们回顾性研究了 18 名被喜马拉雅黑熊和懒熊袭击的患者，以了解袭击的模式及其处理方法。
回顾性研究了 2018 年 1 月至 2019 年 12 月期间被熊袭击的患者。
大多数患者社会经济地位较低。发病率最高的是 6 月至 12 月。袭击主要造成软组织损伤。在一些病例中还注意到面部骨骼骨折，但无死亡病例。那些采用慷慨的组织保留而非激进清创术治疗的患者预后最好。我们还可以跟踪熊袭击的模式。发现喜马拉雅黑熊和懒熊参与了袭击。
熊袭击造成的伤害主要影响面部和颈部。尽管在这项研究中没有死亡病例，但面部毁容对幸存者造成了持久的影响。组织保存和早期重建的效果最好。
