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一名儿科患者因狗咬伤导致肱动脉损伤:病例报告

Brachial Artery Injury Resulting From a Dog Bite in a Pediatric Patient: A Case Report.

作者信息

Meknarit Sarinya, Mann Adam J, Azar Faris, Borrego Robert

机构信息

Surgery, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.

General Surgery, Florida Atlantic University, Boca Raton, USA.

出版信息

Cureus. 2023 Sep 25;15(9):e45889. doi: 10.7759/cureus.45889. eCollection 2023 Sep.

Abstract

Pediatric trauma surgeons frequently encounter severe injuries from animal bites, with dog bites being especially prevalent in children, often leading to facial injuries. This paper details the case of a six-year-old male who suffered a dog bite resulting in a rare proximal right brachial artery injury. The bite caused deep lacerations and avulsion injuries, prompting admission to the trauma center, where nonpalpable right radial and ulnar pulses and arm weakness were observed. Surgical intervention, including wound exploration and brachial artery repair using a saphenous vein graft, successfully restored vascular perfusion. This case underscores the urgency of addressing pediatric dog bite injuries through timely exploration, thorough irrigation, and antibiotic prophylaxis, while also highlighting the need for further research on preventive education and clinical guidelines for assessing vascular injuries in such cases.

摘要

小儿创伤外科医生经常会遇到动物咬伤造成的严重损伤,其中狗咬伤在儿童中尤为常见,常导致面部受伤。本文详细介绍了一名六岁男性的病例,他因被狗咬伤而导致罕见的右侧肱动脉近端损伤。咬伤造成了深部撕裂伤和撕脱伤,促使他被送往创伤中心,在那里观察到右侧桡动脉和尺动脉搏动无法触及以及手臂无力。手术干预,包括伤口探查和使用大隐静脉移植进行肱动脉修复,成功恢复了血管灌注。该病例强调了通过及时探查、彻底冲洗和抗生素预防来处理小儿狗咬伤损伤的紧迫性,同时也凸显了对预防教育以及此类病例中评估血管损伤的临床指南进行进一步研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3355/10599209/6916e1405a2d/cureus-0015-00000045889-i01.jpg

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