河马咬伤发病率：布隆迪11例报告
Hippopotamus bite morbidity: a report of 11 cases from Burundi.
作者信息
Haddara Moustafa M, Haberisoni Jean Berchmans, Trelles Miguel, Gohou Jean-Paul, Christella Kwizera, Dominguez Lynette, Ali Engy
机构信息
Médecins Sans Frontières, Operational Center Brussels, Belgium, Arche Trauma Centre, Bujumbura, Burundi; Médecins Sans Frontières Canada; Toronto, ON, Canada.
Médecins Sans Frontières, Operational Center Brussels, Arche Trauma Centre, MSF Burundi Mission, Bujumbura, Burundi.
出版信息
Oxf Med Case Reports. 2020 Aug 10;2020(8):omaa061. doi: 10.1093/omcr/omaa061. eCollection 2020 Aug.
Hippopotamus is one of the most-loved animals in Africa, yet it is aggressive and dangerous. The co-existence of humans in close proximity to their natural habitat increases the probability of human injury. Hippopotamus attacks have long been recognized to cause serious injuries, but its magnitude and burden are still unknown. The medical literature is very scarce when it comes to documenting hippopotamus bite injuries and their outcomes. We present a cohort of 11 patients who suffered hippopotamus bite injuries in Burundi. To our knowledge, this is the largest case series reporting on the clinical presentation, injury patterns and surgical outcomes of hippopotamus bites. The results show a high incidence of wound infections, amputations and permanent disability among other complications. Hippopotamus-inflicted injuries should, therefore, be triaged as major trauma rather than just 'mammalian bites'.
河马是非洲最受欢迎的动物之一，但它具有攻击性且很危险。人类与它们的自然栖息地近距离共存增加了人类受伤的可能性。长期以来，人们都认识到河马攻击会造成严重伤害，但其严重程度和负担仍不明确。在记录河马咬伤及其后果方面，医学文献非常匮乏。我们报告了一组在布隆迪遭受河马咬伤的11名患者。据我们所知，这是关于河马咬伤的临床表现、损伤模式和手术结果的最大病例系列报告。结果显示，除其他并发症外，伤口感染、截肢和永久性残疾的发生率很高。因此，河马造成的伤害应被归类为重大创伤，而不仅仅是“哺乳动物咬伤”。
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