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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Epidemiology, Clinical Presentation And Final Outcome Of Patients With Scorpion Bite
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Epidemiology, Clinical Presentation And Final Outcome Of Patients With Scorpion Bite

机译：蝎咬伤患者的流行病学，临床表现和最终结果

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Most of the scorpion sting cases are acute life-threatening and time-limiting medical emergencies. The present study was undertaken to analyze the varied clinical presentations in patients admitted with a history of scorpion bite, with a special emphasis to find out whether any difference existed in the presentation of paediatric patients in comparison to the adult patients and to understand whether any particular signs and symptoms were associated with increased mortality and morbidity in different age groups. Also, the final outcomes in all the age groups were noted.This study was conducted at a tertiary care hospital (SRN Hospital, Allahabad) from April 2006 to September 2007. In all the age groups, 74 cases presenting with a history of scorpion sting were either observed or admitted to the intensive coronary care unit (ICCU). They were classified into different groups (A-D) depending upon the clinical presentation. GROUP A included patients who presented only with local signs or those who were asymptomatic; GROUP B included patients having signs of acute pulmonary oedema (APO); GROUP C included patients with signs of APO and myocarditis and GROUP D included patients with APO, myocarditis and encephalopathy or encephalopathy alone. The final outcome was tabulated and the results were analyzed to associate the mortality with any particular clinical parameter. The treatment protocol was designed according to the groups divided. The older age group (5-15 years) comprised of the asymptomatic group (Group-A) in which survival was excellent (100%). Group B comprised of the maximum number of patients ie.52 (70.27%). In this group, the patients in the age group of 5-15 years were the largest cohort. Survival in this group was quite satisfactory, with a recovery rate of 96.16%. Group C patients had an additional element of myocarditis which affected the younger individuals i.e. age groups less than 5 and 5-15 years comprising of 3 patients each. In this group, mortality was seen in 2 (33.33%) patients. Group D had the worst outcome with 100% mortality rates and affected the extremes in the age groups from very young (less than 5 years) to the elderly (above 15 years) patients. An incidental finding of priapism was noted in 27.02% of the patients. The point to be noted was that it was present in 100% of the cases in the age group of less than 5 years in male children and in 40 % of the cases in the age group of 5-15 years in males. There was no incidence of priapism in males above 15 years.
机译：大多数蝎子ing伤病例是严重的威胁生命和时间限制的医疗紧急情况。本研究旨在分析接受蝎咬史的患者的各种临床表现，特别强调找出与成人患者相比，儿科患者表现是否存在差异，并了解是否存在任何特殊情况。体征和症状与不同年龄组的死亡率和发病率增加相关。此外，还记录了所有年龄组的最终结局。本研究于2006年4月至2007年9月在一家三级护理医院（阿拉哈巴德州SRN医院）进行。在所有年龄组中，有74例有蝎ing病史被观察或被送入重症监护病房（ICCU）。根据临床表现将它们分为不同的组（A-D）。 A组包括仅表现出局部体征或无症状的患者; B组包括有急性肺水肿（APO）症状的患者; C组包括有APO和心肌炎迹象的患者，D组包括有APO，心肌炎和脑病或仅脑病的患者。将最终结果制成表格，并对结果进行分析，以将死亡率与任何特定的临床参数相关联。根据划分的组设计治疗方案。老年组（5-15岁）由无症状组（A组）组成，其存活率极高（100％）。 B组由最大患者数组成，即52名（70.27％）。在该组中，年龄最大的组是5-15岁的患者。该组的生存率令人满意，恢复率为96.16％。 C组患者有心肌炎的其他因素，影响了较年轻的个体，即小于5和5-15岁的年龄组，每组3名患者。在这一组中，有2名患者（33.33％）观察到死亡率。 D组的死亡率最差，死亡率为100％，并且影响了从极年轻（不到5岁）到老年（15岁以上）患者的极端年龄段。在27.02％的患者中发现了偶然发现的狂妄症。需要指出的是，男童中年龄小于5岁的年龄组中有100％的病例，男童中5-15岁年龄组中有40％的病例。 15岁以上的男性没有阴茎异常高发的发生。

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