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目的总结老年人颌面部犬咬伤的临床特点和治疗方法。方法收集46例老年颌面部犬咬伤患者的临床资料,对创伤情况、创口处理、免疫和心理干预治疗等进行分析。结果除3例因感染延期愈合外其余43例患者全部一期愈合,面部外观和功能基本恢复正常。无心理疾患出现。结论彻底清创和精细外科缝合对患者颌面部犬创伤的恢复至为关键,强调狂犬病免疫治疗的重要性,要适时进行心理干预,提高老年人的自我保护意识和加强人文关怀。
Objective To summarize the clinical characteristics and treatment of maxillofacial canine bite in the elderly. Methods The clinical data of 46 elderly patients with maxillofacial canine bite were collected, and the trauma, wound healing, immune and psychological intervention were analyzed. Results In addition to 3 cases of delayed healing due to infection, the remaining 43 cases of all the first phase of healing, facial appearance and function returned to normal. No mental illness appears. Conclusion Thorough debridement and fine surgical suturing are crucial for the recovery of maxillofacial trauma in dogs. Emphasis is placed on the importance of rabies immunotherapy. Psychological intervention should be conducted in time to improve the sense of self-protection and humanistic care of the elderly.