A clinico-epidemiological study of bites by spiders of the genus Phoneutria
A clinico-epidemiological study of bites by spiders of the genus Phoneutria
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DOI：
10.1590/s0036-46652000000100003
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发表时间：
2000-01-01
影响因子：
1.9
通讯作者：
Vieira, Ronan Jose
中科院分区：
文献类型：
--
作者：
Bucaretchi, Fabio;de Deus Reinaldo, Claudia Regina;Vieira, Ronan Jose
1984年1月至1996年12月，共收治422例被带蛛咬伤的患者，年龄9 ~ 99岁，中位29岁，主要发生在3、4月份（29.2%）、室内（54.5%）、白天（76.5%）、四肢（脚40.9%、手34.3%）。入院时，大多数患者仅表现为局部症状，以疼痛（92.1%）和水肿（33.1%）为主，并分为轻度（89.8%）、中度（8.5%）和重度（0.5%）中毒。少数患者（1.2%）没有出现中毒症状。严重事故仅在两名儿童（9米，3岁）中得到证实。两人均出现急性肺水肿，老年人在事故发生9小时后死亡。70岁以上的患者有明显高于(p
From January, 1984 to December, 1996, 422 patients (ages 9 m-99 y, median 29 y) were admitted after being bitten by spiders which were brought and identified as Phoneutria spp. Most of the bites occurred at March and April months (29.2%), in the houses (54.5%), during the day (76.5%), and in the limbs (feet 40.9%, hands 34.3%). Upon hospital admission, most patients presented only local complaints, mainly pain (92.1%) and edema (33.1%) and were classified as presenting mild (89.8%), moderate (8.5%) and severe (0.5%) envenomation. Few patients (1.2%) did not present signs of envenomation. Severe accidents were only confirmed in two children (9 m, 3 y). Both developed acute pulmonary edema, and the older died 9 h after the accident. Patients more than 70 year-old had a significantly greater (p