小儿颅骨犬咬伤：表象之外另有隐情。
Pediatric Cranial Dog Bite Injuries: More than Meets the Eye.
作者信息
Tahir Shanze A, Carver Karen Z, Cappitelli Alex, Baird Lissa, Marchese Ashley, Ganske Ingrid M
机构信息
Harvard Medical School, Boston, Massachusetts.
Harvard Medical School, Boston Children's Hospital, Department of Plastic and Oral Surgery, Boston, Massachusetts.
出版信息
Clin Pract Cases Emerg Med. 2022 Aug;6(3):259-261. doi: 10.5811/cpcem.2022.4.56178.
CASE PRESENTATION
A six-month-old female presented to a community hospital with small lacerations to the scalp, face, and left eyelid from a dog bite injury. Computed tomography imaging revealed an impacted right frontal bone fracture and left superior orbital fracture, prompting transfer, neurosurgical repair, and infectious disease management of the injury.
DISCUSSION
This report highlights the importance of having a high level of suspicion for deeper injury in pediatric and especially infant craniofacial dog bites, obtaining radiographic imaging, and initiating appropriate multidisciplinary triage to prevent life-threatening infection and complications.
病例介绍
一名6个月大的女婴因被狗咬伤，头皮、面部和左眼睑出现小伤口，被送往一家社区医院。计算机断层扫描成像显示右侧额骨骨折并伴有移位以及左侧眶上骨折，因此将其转诊，进行神经外科修复和针对该损伤的传染病管理。
讨论
本报告强调了对于小儿尤其是婴儿颅面部狗咬伤存在更深层损伤要有高度怀疑、进行影像学检查以及启动适当的多学科分诊以预防危及生命的感染和并发症的重要性。
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