犬弥漫性皮肤坏死伤口的处理

S. Muhammad, M. Abdurrahman, D. O. Avazi, B. Usman, E. G. Emmanuel, M. H. Sulaiman, P. Mamman, M. Babashani, B. M. Jahun, B. Mohammed, C. Awasum, A. Z. Hassan, D. A. Adawa
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摘要

尼日利亚扎里亚Ahmadu Bello大学兽医教学医院(ABUVTH)收治了一只体重22公斤的一岁雄性大犬,主诉皮肤脱落,肩部受伤(脱落)有脓性分泌物。临床检查显示生命参数正常,背部皮肤大面积坏死,从腰部延伸至右肩,浅表淋巴结肿大。血液和伤口拭子样本分别在ABUVTH的临床血液学和微生物学实验室进行评估。病理结果为嗜中性粒细胞增多和单核细胞增多所致的白细胞增多。从伤口拭子中分离金黄色葡萄球菌。采用湿干式包扎技术,使用外用防腐剂(对氯苯胺溶液、氯己定和聚维酮碘),在创面-绷带界面处应用简易无粘保护膜(聚乙烯),绷带加胶带和全身抗生素。干预后6周内愈合顺利。本文讨论了治疗的细节,以及它对狗皮肤伤口愈合的影响。总之,对创面进行正确的初步评估,并通过严格的创面评估和包扎进行适当的治疗,是创面成功愈合和组织完整性恢复的关键。这种管理干预可以在动物中进一步研究,以提高皮肤伤口的管理质量。
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Management of Diffuse Necrotic Cutaneous Wound in a Dog
A one-year-old male Terrier dog weighing 22 kg was presented to the Ahmadu Bello University Veterinary Teaching Hospital (ABUVTH), Zaria, Nigeria, with complaints of sloughing of the skin and purulent discharges from an injured (sloughed) shoulder. Clinical examination revealed normal vital parameters, extensive necrotized skin on the dorsum extending from loin to the right shoulder and enlarged superficial lymph nodes. Blood and wound swab samples were evaluated in the clinical haematology and Microbiology Laboratories of the ABUVTH, respectively. The Pathology result showed leucocytosis due to neutrophilia and monocytosis. Staphylococcus aureus was isolated from the wound swab. The wound was managed by wet-to-dry bandaging technique using topical antiseptics (Para-chloroaniline solution, chlorhexidine and povidone iodine), improvised non-adhesive protective membrane (polyethylene) applied at the wound-bandage interface, bandages along with adhesive tape and systemic antibiotics. Healing occurred uneventfully within 6 weeks of the intervention. The paper discusses the detail of the management initiated and how it greatly influenced the skin wound healing in dogs. In conclusion, proper initial assessment of wounds and appropriate treatment through rigorous wound assessment and bandaging are critical to success in the wound healing and restoration of tissue integrity. This management intervention could be further investigated in animals in order to improve the quality of cutaneous wounds management.
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