被狗咬伤:Rusk 成为了一种风险 - 案例报告。

Sadasivam Nehru, Pugazhenthan Thangaraju, Nehru Cibee, Hemasri Velmurugan
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摘要

背景:被狗咬伤是一个世界性问题,对儿童的影响尤为严重。即使是人类最亲密的伙伴也可能对人类造成危害,这可能很难让人记住。鉴于狗咬伤的发病率和死亡率都很高,我们在此报告一例有趣的病例,一名两岁男孩因被狗咬伤而出现眼睑面部撕裂伤:病例介绍:一名两岁男童因左右眼周围出血而就诊。对眼睛进行局部检查后发现,左眼眶有撕裂伤和毁容,右眼周围有擦伤。术前开始使用肠外抗生素,术后继续使用。对右眼进行了包扎。为左眼安排了眼睑重建手术,手术在全身麻醉下进行。经过一个月的观察,患儿的伤口愈合情况令人满意,没有出现明显的疤痕或并发症:咬伤的标准治疗方法是直接缝合、移植或局部皮瓣,这取决于伤口的类型和外科医生的偏好,与攻击后的时间无关。挤压伤很难治疗,因为对组织的破坏往往非常严重,截肢是不可避免的:结论:被狗咬伤造成的全身伤害是不常见疾病的后果,通常表现为眶周和眼部病变。大多数狂犬病病例发生在医疗条件不足的农村和城市地区,未接受免疫接种的流浪狗的发病率很高。
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Dog Bite Injury: Rusk Became a Risk - A Case Report.

Background: Dog bites are a worldwide problem that disproportionately affects children. It might be difficult to keep in mind that even a man's closest buddy can be dangerous to people. In light of the significant morbidity and mortality associated with dog bites, we report, herein, an intriguing case in which a two-year-old boy appeared with eyelid facial lacerations as a result of a dog bite.

Case presentation: A two-year-old boy presented with bleeding around the right and left eyes. Local examination of the eyes revealed laceration and disfiguration of the left orbit and abrasion around the right eye. Preoperatively, parenteral antibiotics were started and continued postoperatively. Dressing was done for the right eye. Lid reconstruction surgery for the left eye was scheduled and it was carried out under general anaesthesia. The child was monitored for a month and showed satisfactory wound healing with no visible scars or complications.

Discussion: The standard treatment for bites is direct suture, grafting, or local flaps, depending on the type of wound and the surgeon's preference, regardless of the time since the attack. Crush wounds are difficult to treat because the damage to the tissues is often so profound that amputation is unavoidable.

Conclusion: The global injuries caused by dog bites are the consequence of uncommon illnesses and often manifest as peri-orbital and ocular lesions. Most rabies cases occur in underserved rural and urban areas, with a high frequency of stray dogs without immunisation.

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