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首页> 外文期刊>Southern Medical Journal >Reptile envenomation 20-year mortality as reported by US medical examiners.
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Reptile envenomation 20-year mortality as reported by US medical examiners.

机译：根据美国医学检查员的报告，爬行动物毒死20年的死亡率。

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OBJECTIVES: Accurate reptile envenomation mortality data for the United States is unavailable. Using data from the National Vital Statistics System (NVSS), deaths from 1979 through 1998 were analyzed. METHODS: Records of deaths from reptile envenomation were selected using matches to code E905.0 of the International Classification of Diseases, Ninth Revision. Data for the US population was taken from the 2000 US census estimates. RESULTS: The National Vital Statistics System identified 97 deaths from venomous reptile bites that occurred during the study period. Texas (n = 17), Florida (n = 14), and Georgia (n = 12) reported the most fatalities (44% of fatalities, 16% of 2000 US population). No deaths were reported from 24 states or the District of Columbia. Of the 97 decedents, 88 (91%) were white and 7 (7%) were black. One male and one female were categorized as "other" race. White males had the highest incidence of death by reptile envenomation, accounting for 76% of all fatalities, while comprising only 41% of the US population. Accounting for 19 of the 97 fatalities, males 25 to 34 years old had the most deaths (19.6% of deaths, but 7.1% of the 2000 US population). CONCLUSIONS: From 1979 through 1998, less than 100 deaths by venomous reptile bite were reported nationwide. White male Southerners appear to be at greatest risk. This finding of a specific high-risk population may require further investigation and public health intervention.
机译：目的：尚无美国准确的爬行动物毒死率数据。使用国家生命统计系统（NVSS）的数据，分析了1979年至1998年的死亡人数。方法：使用符合国际疾病分类第九修订版E905.0的匹配项，选择爬行动物毒死的记录。美国人口数据来自2000年美国人口普查估计数。结果：国家生命统计系统确定了研究期间发生的97例爬行类被蛇毒咬伤死亡。德克萨斯州（n = 17），佛罗里达州（n = 14）和乔治亚州（n = 12）报告的死亡人数最多（44％的死亡人数，占2000年美国人口的16％）。没有24个州或哥伦比亚特区的死亡报告。在97名死者中，有88名（91％）是白人，有7名（7％）是黑人。一男一女被归类为“其他”种族。白人男性的爬行动物毒死率最高，占所有死亡人数的76％，而美国仅占41％。在97例死亡中，有19例死亡，其中25至34岁的男性死亡人数最多（死亡人数的19.6％，但占2000年美国人口的7.1％）。结论：从1979年到1998年，全国报告不到100例被有毒的爬行动物叮咬致死。白人男性南方人似乎风险最大。对特定高危人群的这一发现可能需要进一步调查和公共卫生干预。

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