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目的探讨颌面部口唇部位特殊动物咬伤治疗的回顾性分析。方法选取我院颌面外科2006年1月~2015年1月急诊收治哺乳类动物,犬类,其他动物咬伤颌面部口唇部位的患者55例,采用一期清创、缝合、预防感染、免疫接种治疗,必要择期二期整复治疗。结果 41例患者创口愈合,未见明显感染,14例感染后长期换药对症治疗,行二期整复手术。结论颌面部口唇部位特殊动物咬伤新疆地区比较高发,并逐年增加,动物咬伤至关问题是时间,如咬伤后8 h内清创缝合,术后愈合效果良好,如时间超过12 h,感染几率将增高,术后瘢痕及后遗症会影响患者身心健康。
Objective To investigate the retrospective analysis of the treatment of special animal bites in maxillofacial lips. Methods A total of 55 patients with maxillofacial and labial bites from mammals, dogs and other animals underwent emergency treatment from January 2006 to January 2015 in our hospital from January 2006 to January 2015. All the patients were treated with debridement, Immunization treatment, the need for elective phase II rehabilitation treatment. Results 41 cases of wound healing, no significant infection, 14 cases of long-term dressing infection symptomatic treatment, the second phase of reconstructive surgery. Conclusion The maxillofacial region of the lips special bite of animals in Xinjiang is relatively high and increased year by year, the animal bites the problem is the time, such as debridement and suture within 8 h after bite, the healing effect is good, such as the time exceeds 12 h , The probability of infection will increase, postoperative scar and sequelae will affect the patient’s physical and mental health.