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老汉挥拳打人却被对方门牙磕破大拇指 或被截指

2017-05-17 09:36:59   中国吉林网

被人咬伤会比动物咬伤更严重?不少人对此会表示惊讶!近日,吉林一医院接诊的这位患者,就因为与人争执中不小心打到别人的门牙上,大拇指擦破了一厘米长的口子。当时没怎么当回事,10天后严重感染,肌腱和神经都已经烂掉了,面临着可能要被截指的严重后果。

吉林一医院刘军医生表示,在某种程度上,被人咬伤可能会造成比动物咬伤更严重的后果,且在伤口的处理上比单纯的动物咬伤还要更复杂一些。

手指打到别人门牙上感染面临被截指

这名患者是一位65岁的老汉,家住在通化市。在20多天前,他在围观下棋的时候与他人发生了争执,后来双方索性动起手来。在动手的过程中,老汉把手打到了对方的门牙上,当时大姆指的背侧出现了一道不到一厘米的口子,而且也不算深。当时他也没当回事,可是过了10天左右,他的手指肿得特别厉害。到当地医院把手指切开后,发现里面已经全部都是脓了。第二天,当地医院表示处理不了,建议他到长春治疗。于是这位老汉便来到了吉林一医院手足及修复重建外科就诊。

“接诊时,他的手指流脓,恶臭、红肿,疼痛剧烈,创口裸露的部分肌腱和骨质发黑,我们为他进行了多次的扩创术,但还是不能完全控制感染,现在肌腱、神经都已经烂掉了,面临着可能要被截指的危险。”

据刘军介绍,这位患者的病情发展得之所以这么快,还与他本人患糖尿病有很大关系。

被用过的牙签扎了一下也能感染

其实,这位老汉的病例并不算一个极端的特例。刘军之前就多次接诊过这样的病例。

他曾接诊过一位54岁的男子,因为打架小手指被人咬掉,再植之后,也出现了继发感染,最后没办法就截掉了。

还有一个22岁的小伙子,打球时跳起来,头皮撞到了别人的门牙上了,撞出了一道口子。

“头皮是人体组织中最不易感染的部位,头皮破了之后往往可以不消毒就直接缝合的,也不会感染,但这位患者出现了感染,头皮溃烂,治疗了七八个月才最后愈合。”刘军说。

还有一个更不可思议的病例,一根用过的牙签被放到床上,结果不小心扎到了一位患者的腿上,竟然也造成了患者腿部的感染。

刘军说,他从医14年,平时每年都会遇到一起因为人咬伤而造成严重感染病例。“都是当时因为当时根本没在意,才造成了严重的后果。

受点小伤可以用唾液消毒?大错特错!

生活中,我们常会遇到这种情况:手不小心被什么东西刮了一下,或被刀切了一个小口,家里的老人会让你用舌头舔一舔,说唾液是最干净的,能消毒!

“恰恰相反的,人的口腔其实是最脏的。”刘军说。

据他介绍,人是杂食动物,口腔内的细菌有很多种,包括需氧菌和厌氧菌,一旦感染,两种细菌会相互作用,处理起来非常困难,另外口腔唾液中还有一种特殊的蛋白酶,它会造成人体组织溶解,以及排斥反应,导致组织坏死。

而现在的动物都是在家庭中养着,喂食比较干净单一,被动物咬伤反而更容易处理一些。

刘军说,一般被动物咬伤之后,可以用清水或肥皂水自行清洗,然后去就医。另外最重要的是要考虑是否需要接种疫苗,而且轻度的动物咬伤可以缝合。

而被人咬伤后,不论伤口大小、深浅,必须去就医。而且人咬伤的伤口是绝对不能缝合的,因为口腔中的厌氧菌会在密闭的环境中生长,造成伤口恶化及感染。

责任编辑:都基强 CN065
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