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首页> 外文期刊>Journal of Clinical Medicine and Research >Management of snake bite in resource-challenged setting: A review of 18 months experience in a Nigerian hospital
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Management of snake bite in resource-challenged setting: A review of 18 months experience in a Nigerian hospital

机译：在资源匮乏的环境中管理蛇咬伤：对尼日利亚一家医院18个月经验的回顾

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摘要

Snake bite is a worldwide environmental and occupational hazard with significant public health importance. The management of snake bites includes the use of specific anti-venom, use of clotting factors and tetanus prophylaxis. In many developing countries however, specific anti-venoms are not widely available and this might affect the outcome of patient management. The main objective of this work is to analyze the clinical presentation, management and outcome of snake bite patients a resource-challenged environment like ours. The study is a cross-sectional retrospective review of medical records of all patients admitted with snake bite to the male and female medical wards of the Specialist Hospital, Lokoja, Nigeria from 1st?January, 2009 till the end of June 2010. Information retrieved for the purpose of this study include patients’ bio data, affected part of the body, summary of presenting complaints,? mode and outcome of management. A sum total of six hundred and sixty-six patients were admitted to the medical wards of the hospital during the period in question out of which fifteen cases (2.25%) of snake bite were recorded. Eleven patients (73.3%) were male and the mean age was 34.3 ± 1.9 years.? The most common presenting feature was local swelling (100%), followed by bleeding from the site of envenomation (50%) while four (33%) patients had haematuria. Snake antivenom was administered in eleven patients (91.7%) while five patients had whole blood transfused. No mortality was recorded among the patients admitted with snake bite. The management of snake bite in Nigeria is hampered by unavailability of specific antivenom and other supportive measures like clotting factors and cryoprecipitate. There is a need to make effective and safe antivenoms available and affordable to improve patients’ outcome. This work has shown however that it is possible to have good outcomes despite the many challenges encountered by health care personnel.
机译：蛇咬伤是一种全球性的环境和职业危害，具有重要的公共卫生意义。蛇咬伤的管理包括使用特定的抗毒液，使用凝血因子和预防破伤风。但是，在许多发展中国家，特定的抗毒剂尚未广泛使用，这可能会影响患者治疗的结果。这项工作的主要目的是分析像我们这样的资源匮乏的环境中的蛇咬患者的临床表现，管理和结果。这项研究是横断面回顾性研究，回顾了从2009年1月1日至2010年6月底到尼日利亚洛科贾专科医院男女病房接受蛇咬伤的所有患者的病历。这项研究的目的包括患者的生物数据，身体的受影响部位，主诉的摘要，？管理模式和结果。在上述期间内，共有666名患者被送进医院的病房，其中有15例（2.25％）被蛇咬伤。 11名患者（73.3％）为男性，平均年龄为34.3±1.9岁。最常见的表现是局部肿胀（100％），其次是从毒液部位出血（50％），而四名（33％）血尿患者。 11例患者（占91.7％）使用了蛇抗蛇毒，而5例患者进行了全血输注。在被蛇咬伤的患者中没有记录死亡率。无法获得特定抗蛇毒血清和其他支持性措施（例如凝血因子和冷沉淀）阻碍了尼日利亚蛇咬的管理。有必要提供有效且安全的抗蛇毒血清，并负担得起，以改善患者的预后。然而，这项工作表明，尽管医护人员面临许多挑战，仍可能取得良好的结果。

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