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目的分析2013年1月~2015年1月期间武警8645部队卫生队急诊收治25例狗咬伤患者病情分析,总结致伤情况及特点,指导日后的临床工作。方法通过对2013年1月~2015年1月期间本卫生队收治的25例狗咬伤患者的临床资料进行回顾性分析,如患病年龄、就诊时间、咬伤部位、急诊处理等,并对其进行随访,提出日后的防控建议。结果 0~10岁年龄组被狗咬伤情况最为严重,11人被咬伤,占44%,这与儿童年龄小,家长看护不周,个人防范意识差有关。被咬伤后<24小时来急诊就诊人数为14人,占56%。随访2个月患者情况良好,其中1例出现伤口丙级愈合。结论防治狂犬病的关键是防治狗咬伤,一旦出现狗咬伤,应迅速到医院救治,并注射狂犬病血清或狂犬病免疫球蛋白,伤口较深者可加注射破伤风抗毒素。
Objective To analyze the condition of 25 dog bite patients admitted to the emergency department of 8645 armed forces health team from January 2013 to January 2015, summarize the injury situation and characteristics, and guide the clinical work in the future. Methods The clinical data of 25 cases of dogs bitten by this team from January 2013 to January 2015 were analyzed retrospectively, such as the age of sickness, the time of visiting, the site of bite and the emergency treatment, etc. The follow-up, put forward future prevention and control recommendations. Results 0- to 10-year-old age group was the most serious dog bites, 11 were bitten, accounting for 44%, which is related to children’s age, poor parental care, poor personal awareness of prevention. The number of emergency visits <24 hours after bite was 14, accounting for 56%. Patients were followed up for 2 months in good condition, of which 1 case of wound C healed. Conclusion The key to prevention and treatment of rabies is prevention of dog bites. Once a dog bites, the dog should be promptly taken to the hospital for treatment and rabies serum or rabies immunoglobulin should be injected. If the wound is deeper, tetanus antitoxin may be injected.