背景:咬伤,特别是那些涉及手的,提出了重大的医学法律挑战,经常导致并发症和频繁的急诊就诊。狗和猫咬伤,尤其是在儿童中,由于手的复杂解剖结构,是感染的主要原因,即使是轻微的叮咬也容易导致严重感染。Capnocytophagacanimorsus,在狗和猫的口腔中发现,尤其令人担忧,因为它有可能导致严重感染。及时和适当的治疗对于减轻这些风险至关重要。管理此类伤害构成了重大挑战,需要明确的报告准则和安全措施。这篇文章强调了迫切需要进行额外的研究,支持,和教育,特别关注儿童,随着国际准则的发展,以改善患者的结果。
方法:介绍了一个16岁女孩的案例研究,她的左前臂由于罗威纳咬伤而被截肢。尽管最初尝试了再植,并发症导致了截肢的决定。
结论:这个案例强调了在管理严重的狗咬伤方面的挑战,强调及时评估的重要性,彻底清创,和适当的伤口管理,以尽量减少并发症。此外,心理评估和治疗对于此类创伤事件后的患者和父母至关重要.从医学的角度来看,这个病例突出了监测炎症标志物的重要性,适当的外科优先事项,以及对心理支持的需求。预防狗咬伤至关重要,需要提高公共当局和狗主人的意识。报告狗咬伤的明确指南至关重要,但是需要进一步的研究来提高它们的全面性和有效性。
BACKGROUND: Bite injuries, particularly those involving the hands, present a significant medico-legal challenge, often leading to complications and frequent emergency department visits. Dog and cat bites, especially among children, are major contributors to infections due to the complex anatomy of the hand, which predisposes it to severe infections even from minor bites. Capnocytophaga canimorsus, found in the oral cavity of dogs and cats, is particularly concerning due to its potential to cause severe infections. Prompt and appropriate treatment is essential to mitigate these risks. Managing such injuries poses significant challenges, necessitating clear guidelines for reporting and safety measures. This article highlights the urgent need for additional research, support, and education, particularly focusing on children, along with the development of international guidelines to improve outcomes for patients.
METHODS: A case study of a sixteen-year-old girl who had her left forearm amputated due to a rottweiler bite is presented. Despite initial attempts at replantation, complications led to the decision for amputation.
CONCLUSIONS: This case underscores the challenges in managing severe dog bite injuries, emphasizing the importance of prompt assessment, thorough debridement, and proper wound management to minimize complications. Additionally, psychological evaluation and treatment are crucial for patients and parents following such traumatic events. From a medical standpoint, this case highlights the importance of monitoring inflammatory markers, appropriate surgical priorities, and the need for psychological support. Prevention of dog bites is crucial, requiring increased awareness among public authorities and dog owners. Clear guidelines for reporting dog bites are essential, but further research is needed to improve their comprehensiveness and effectiveness.