Thomas P R, Buntine J A
Austin Hospital, Heidelberg, Vic.
Med J Aust. 1987;147(11-12):536-40.
A retrospective study of outpatient casualty-department attendances and inpatient hospital admissions for dog-bite wounds was undertaken. Alsatians were the offending dog in 47% of 34 recorded cases. The majority of patients were young; 73% of patients were less than 30 years of age. The upper limb was bitten most frequently (53% of bites). Eleven per cent of dog-bite wounds that were treated in casualty became infected. Upper limb and puncture wounds more often became infected. Prophylactic antibiotic treatment was associated with a 6% infection rate compared with an 18% infection rate in those who were not treated (not statistically significant; P greater than 0.1). Patients of over the age of 45 years had a higher complication rate. All these findings are consistent with other published series. The infection rate was minimal when patients were admitted to hospital and their wounds debrided and closed by a consultant plastic surgeon. A plan for the management of dog-bite wounds is outlined.
我们对犬咬伤伤口的门诊急诊就诊情况和住院情况进行了一项回顾性研究。在34例有记录的病例中，47%的肇事犬为阿尔萨斯犬。大多数患者较为年轻；73%的患者年龄小于30岁。上肢被咬的情况最为常见（占咬伤病例的53%）。在急诊接受治疗的犬咬伤伤口中，11%发生了感染。上肢伤口和穿刺伤更易发生感染。预防性抗生素治疗组的感染率为6%，未接受治疗组的感染率为18%（无统计学意义；P大于0.1）。45岁以上的患者并发症发生率更高。所有这些发现与其他已发表的系列研究结果一致。当患者入院并由整形外科顾问医生对伤口进行清创和缝合时，感染率最低。本文概述了犬咬伤伤口的处理方案。
