急诊室中的鲶鱼刺伤和脊柱留置治疗：病例报告。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Wilderness & Environmental Medicine Pub Date : 2024-09-10 DOI:10.1177/10806032241273505

Spencer J Carbone,Jennifer L Jozefick,Adam P Sigal,Robert H Nordell

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引用次数: 0

摘要

在美国，钓鱼是一项常见的娱乐活动，注册钓鱼者超过 2900 万。尽管钓鱼本身并不危险，但常见的钓鱼伤害包括鱼钩嵌入和动植物造成的伤害。急诊科（ED）医生需要对如何治疗这些不太常见的损伤有一个基本的了解。我们报告了一例鲶鱼刺扎入腿部的病例。这些刺不仅会造成穿刺伤，还可能导致撕裂伤和毒液释放。我们的病人是在最初受伤 6 小时后就诊的，需要移除鱼刺并对症治疗。患肢的平片显示有一个 2 厘米长的异物，与鲶鱼脊柱一致。伤口被扩大，脊柱被成功取出。患者出院后服用左氧氟沙星，伤口愈合，伤后近两周未出现并发症。

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Catfish Puncture Wound and Retained Spine Management in the ED Setting: A Case Report.

Fishing is a common recreational activity in the United States, with over 29 million registered fishers. Although not inherently dangerous, commonly seen injuries from fishing include embedded fishhooks and injury from flora and fauna. Emergency department (ED) physicians need a basic understanding of how to treat these less-than-frequent injuries. We present a case report of a patient who presented with a catfish spine lodged in her leg. These spines not only cause puncture wounds but can result in lacerations and venom release as well. Our patient presented 6 hours after the initial injury for spine removal and symptom management. Plain radiographs of the affected extremity demonstrated a 2 cm foreign body consistent with a catfish spine. The wound was expanded, and the spine successfully removed. The patient was discharged on levofloxacin and reported a healing wound without complications nearly 2 weeks after the injury.

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来源期刊

Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.10

自引率

7.10%

发文量

审稿时长

>12 weeks

期刊介绍： Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.