Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine, Saint Louis, MO.
Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.
J Craniofac Surg. 2022 Jun 1;33(4):1118-1121. doi: 10.1097/SCS.0000000000008209. Epub 2021 Sep 21.
Children under the age of 14 account for over 40% of the almost 900,000 annual hospital visits associated with dog bites. Care for dog bites ranges from simple wound irrigation to complex surgical reconstruction. Due to a number of factors, children frequently sustain dog bites to highly vulnerable regions, often necessitating intervention by plastic surgeons.
This retrospective study analyzed data from the 1422 pediatric patients who sustained dog bites and presented to the Le Bonheur Children's Hospital Emergency Room from January 2011 to May 2017.
The typical pediatric dog bite case was male (63.5%), African-American (57.4%), and less than 10 years old (69.4%). The head and neck were the most commonly affected areas (64.7%). Of the head and neck regions, the cheeks and lips were the most frequently injured structures (34.5%). Hospital admission was required for 188 patients (13.2%) and operative repair was deemed necessary in 16.9% of all cases. Of the patients requiring inpatient operative repair, most (78.3%) were discharged in less than 24 hours. Operative complications occurred in 5.8% of all cases, with infections accounting for the majority (92.9%). No fatal dog bites occurred in this study.
Age, bite location, and number of bites sustained are several factors of significance, which may aid the novice plastic surgeon in identifying, which pediatric dog bite cases will require surgical intervention.
在每年近 90 万例与狗咬伤相关的就诊病例中，14 岁以下儿童占比超过 40%。狗咬伤的治疗范围从简单的伤口冲洗到复杂的外科重建。由于多种因素，儿童经常受到狗咬伤，这些咬伤往往位于高度脆弱的部位，经常需要整形外科医生的干预。
本回顾性研究分析了 2011 年 1 月至 2017 年 5 月期间在 Le Bonheur 儿童医院急诊室就诊的 1422 名因狗咬伤而就诊的儿科患者的数据。
典型的儿科狗咬伤病例为男性（63.5%）、非裔美国人（57.4%）、年龄小于 10 岁（69.4%）。头颈部是最常受影响的区域（64.7%）。在头颈部，脸颊和嘴唇是受伤最常见的结构（34.5%）。188 名患者（13.2%）需要住院治疗，所有病例中有 16.9%需要手术修复。在需要住院手术修复的患者中，大多数（78.3%）在 24 小时内出院。所有病例中有 5.8%发生手术并发症，其中大多数（92.9%）为感染。本研究中无致命性狗咬伤发生。
年龄、咬伤部位和咬伤次数是几个重要的因素，这可能有助于新手整形外科医生识别哪些儿科狗咬伤病例需要手术干预。
