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手部人类咬伤损伤

Human bite injuries of the hand.

作者信息

Bite U

出版信息

Can J Surg. 1984 Nov;27(6):616-8.

PMID:6498660
Abstract

The charts of 24 patients admitted to Victoria Hospital, London, Ontario with human bite injuries were analysed. Two clinical groups were found. One group of patients had evidence of septic arthritis. They required operative treatment and experienced complications. The second group was made up of patients with cellulitis who responded to antibiotic therapy and had an uncomplicated course. No resistance to cephalosporins was found. Patients seen soon after injury without evidence of joint penetration should be managed by irrigation and open management of the wound, immobilization in a hand dressing, elevation, tetanus prophylaxis, oral administration of a cephalosporin and reexamination within 24 hours. Those who fail to respond to this treatment should be admitted to hospital and given antibiotics intravenously. Clinical evidence of septic arthritis warrants early operative incision and drainage combined with antibiotics given intravenously.

摘要

对安大略省伦敦市维多利亚医院收治的24例人类咬伤患者的病历进行了分析。发现了两个临床组。一组患者有化脓性关节炎的证据。他们需要手术治疗并出现了并发症。第二组由蜂窝织炎患者组成,这些患者对抗生素治疗有反应且病程无并发症。未发现对头孢菌素耐药。受伤后不久就诊且无关节穿透证据的患者应通过伤口冲洗和开放处理、手部敷料固定、抬高、破伤风预防、口服头孢菌素并在24小时内复查来处理。对这种治疗无反应的患者应入院并静脉给予抗生素。化脓性关节炎的临床证据需要早期手术切开引流并静脉给予抗生素。

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