口腔颌面部熊抓伤一期缝合1例

doi:10.12337/zgkqjxjyzz.2023.05.007

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (5): 387-390.DOI: 10.12337/zgkqjxjyzz.2023.05.007

口腔颌面部熊抓伤一期缝合1例

刘航航¹, 张晓辉¹, 张雪峰¹, 陈尽欢¹, 石永乐¹, 刘显^1,2, 华成舸^3,*

¹口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院急诊科;
²口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院口腔颌面外科门诊;
³口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院口腔全科

发布日期:2023-11-29
通讯作者: ^*华成舸,联系方式：028-85501437,电子邮箱：huacg@163.com,通讯地址：四川省成都市人民南路三段14号,610041
基金资助:
四川大学华西口腔医院临床研究项目（项目编号：LCYJ-2019-7）

Primary Closure for Facial Injury Caused by Bear Scratch: A Case Report

Hanghang Liu¹, Xiaohui Zhang¹, Xuefeng Zhang¹, Jinhuan Chen¹, Yongle Shi¹, Xian Liu^1,2, Chengge Hua^3,*

¹State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases, Emergency Department, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China;
²State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China;
³State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases, Department of General Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China

Published:2023-11-29
Contact: Chengge Hua. Tel: 028-85501437. Email: huacg@163.com. Address: No. 14, 3rd, Renmin South Road, Chengdu 610041, Sichuan Province, P.R. China.
Supported by:
Clinical Research Project of West China Hospital of Stomatology in Sichuan University (No. LCYJ-2019-7)

摘要/Abstract

摘要： 目的： 动物咬伤、抓伤是口腔颌面部最常见的外伤性疾病之一,但目前对口腔颌面部动物咬伤、抓伤的患者是否应进行一期缝合仍存在争议。本研究将报道1例口腔颌面部熊抓伤一期缝合病例的治疗效果。诊治经过： 患者,男性,49岁,因面部被熊抓伤20小时来院就诊,12小时前已接种破伤风、狂犬病免疫球蛋白及狂犬疫苗,在四川大学华西口腔医院彻底清创后对其进行了一期严密缝合,随访并记录了患者术后伤口感染、瘢痕愈合等情况。结果： 患者一期缝合后伤口愈合良好,未出现术后伤口感染,且瘢痕较小,面部美观性较高。结论： 对于可彻底清创的口腔颌面部动物抓伤患者,一期缝合可在不增加伤口感染率的同时改善术后美观功能,进而降低创伤对患者造成的容貌、生理及心理上的创伤。

关键词: 口腔颌面部损伤, 动物抓伤, 清创术, 感染, 伤口恢复

Abstract: Objective: Animal bites and scratches are one of the most common traumatic injuries in the oral and maxillofacial regions. However, there is still controversy over whether primary closure should be performed on patients with animal bites and scratches in the oral and maxillofacial regions. To clarify the therapeutic effect of primary closure for facial animal scratches, this study will report one case of primary closure for bear scratches. Diagnosis and treatment: A 49-year-old male patient visited the hospital 20 hours after being scratched by a bear on the face. He had received tetanus, rabies immunoglobulin, and rabies vaccine 12 hours earlier. In this study the wound debridement and primary closure was performed immediately at the first visit. Wound infection and aesthetic recovery were recorded during the follow-up. Results: The results showed that the patient underwent primary closure had no postoperative wound infection and got satisfactory scar recovery.Conclusions: For patients with facial animal scratches that can be thoroughly debridement, primary closure can improve postoperative aesthetic function without increasing wound infection rate, thereby reducing the appearance, physiological, and psychological trauma caused by the trauma to the patient.

Key words: facial injuries, bites and scratches, debridement, infection, injury recovery

刘航航, 张晓辉, 张雪峰, 陈尽欢, 石永乐, 刘显, 华成舸. 口腔颌面部熊抓伤一期缝合1例[J]. 中国口腔医学继续教育杂志, 2023, 26(5): 387-390.

Hanghang Liu, Xiaohui Zhang, Xuefeng Zhang, Jinhuan Chen, Yongle Shi, Xian Liu, Chengge Hua. Primary Closure for Facial Injury Caused by Bear Scratch: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(5): 387-390.

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口腔颌面部熊抓伤一期缝合1例

Primary Closure for Facial Injury Caused by Bear Scratch: A Case Report

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