病例报告：家养斑马咬伤导致上肢截肢。

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

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI:10.1177/10806032241281231

Clayton Young, Howard Levitin, Holly Bryant

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引用次数: 0

摘要

一名男子被宠物斑马袭击，右臂多处被咬伤，全身多处外伤，随后被动物拖到地上并压住。他被当地的紧急医疗服务（EMS）送往急诊科（ED），止血带在身上扎了近 60 分钟。这名男子的伤势包括广泛的软组织损伤、开放性骨折和右肘脱臼，以及右耳软组织损伤。他的右前臂软组织严重坏死，需要在髁上方进行经肱骨截肢手术，这使他的临床病程变得更加复杂。持续感染和幻肢痛的出现使他的康复更加复杂。

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Domestic Zebra Bite Leading to Upper Extremity Amputation.

A man attacked by a pet zebra suffers multiple bite wounds to his right arm and generalized trauma after being dragged to the ground and pinned by the animal. He was transported to the emergency department (ED) by the local emergency medical service (EMS) with a tourniquet in place for nearly 60 min. The man's injuries included extensive soft tissue damage, an open fracture and dislocation of his right elbow, and a soft tissue injury to his right ear. His clinical course was complicated by severe necrosis of the soft tissue of the right forearm requiring transhumeral amputation just above the condyles. Ongoing infection and the development of phantom limb pain complicated his recovery.

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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.