Zook E G, Miller M, Van Beek A L, Wavak P
J Trauma. 1980 Mar;20(3):243-7. doi: 10.1097/00005373-198003000-00010.
The most common bite injury in the United States is that of the dog and is associated with serious social and economic problems. Our series of 61 dog bite patients shows a majority of them to be in children and of the face and neck. Our treatment protocol centers on copious saline pressure irrigation, meticulous wound and wound edge debridement, repeated copious saline pressure irrigation, adequate antibiotic treatment, and close postoperative monitoring. Two hundred fifteen dog bite wounds in 61 patients were closed with this regimen with only a single wound infection. This is a wound infection rate of 0.47% and a patient infection rate of 1.6%.
在美国,最常见的咬伤是狗咬伤,且这与严重的社会和经济问题相关。我们的61例狗咬伤患者系列显示,其中大多数是儿童,且咬伤部位在面部和颈部。我们的治疗方案以大量生理盐水加压冲洗、细致的伤口及伤口边缘清创、反复大量生理盐水加压冲洗、充分的抗生素治疗以及密切的术后监测为核心。61例患者的215处狗咬伤伤口采用该方案进行缝合,仅出现1例伤口感染。这意味着伤口感染率为0.47%,患者感染率为1.6%。