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首页> 外文期刊>Journal of Clinical and Experimental Investigations >Management of Poisonous Snake Bites: Analysis of 29 Cases
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Management of Poisonous Snake Bites: Analysis of 29 Cases

机译:毒蛇咬伤的处理:29例分析

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Objectives: The objective of this retrospective study is to provide contribution for management of the poisonous snake bites by comparison results of this study with the literature data.Patients and Methods: This study retrospectively analyzed the demographic and epidemiologic characteristics of 40 patients who presented due to snake bites. 29 patients were included in this study. Patients’ age, sex, month of admission, duration of follow-up in the emergency room, laboratory outcomes, the regions of snake bite, number of the bites, local and systemic symptoms, and treatment received were assessed. Patients aged under 18 years were excluded from the study. Also patients were excluded if the snakes were not seen after the patients were bitten or if they developed no local or systemic symptoms within four hours after the bite. In addition, patients in whom adequate data could not be obtained were also excluded from the study.Results: Out of the 29 patients included in this study, 15 (51.7%) were females. When the patients were examined according to local and systemic findings; local symptoms were observed in 18 patients (62.1%) and systemic symptoms in 11 patients (37.9%). There was a positive correlation between elevated ALP and diffuse edema in the bite area and hypotension findings. When durations of hospitalization were analyzed, the mean duration of hospitalization was 2.3±1.5 days.Conclusion: We believe that, symptomatic and supportive treatment could be sufficient in majority of the patients with snake bites in our region, and a low dose antiserum therapy would be reasonable when antiserum is needed.
机译:目的:本研究的目的是通过将本研究结果与文献数据进行比较,为管理毒蛇咬伤提供贡献。病人和方法:本研究回顾性分析了40例因毒蛇咬伤所致的人口统计学和流行病学特征。蛇咬伤。本研究包括29例患者。评估了患者的年龄,性别,入院月份,急诊室的随访时间,实验室结果,被蛇咬的区域,被咬的次数,局部和全身症状以及所接受的治疗。 18岁以下的患者被排除在研究之外。如果被咬后没有看到蛇,或者在被咬后四个小时内没有出现局部或全身症状,则将患者排除在外。此外,该研究还排除了无法获得足够数据的患者。结果:本研究纳入的29名患者中,有15名(51.7%)是女性。根据局部和全身检查结果对患者进行检查;在18例患者中观察到局部症状(62.1%),在11例患者中观察到全身症状(37.9%)。咬合区ALP升高和弥漫性水肿与低血压表现呈正相关。分析住院时间,平均住院时间为2.3±1.5天。结论:我们认为,对症治疗和支持治疗对本地区大多数蛇咬伤患者就足够了,低剂量抗血清治疗可以当需要抗血清时是合理的。

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