Clinical Condition and Management of 114 Mamushi (Gloydius blomhoffii) Bites in a General Hospital in Japan.
Clinical Condition and Management of 114 Mamushi (Gloydius blomhoffii) Bites in a General Hospital in Japan.
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DOI：
10.2169/internalmedicine.9409-17
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发表时间：
2018-04-15
期刊：
影响因子：
--
通讯作者：
Furue M
中科院分区：
文献类型：
--
作者：
Chiba T;Koga H;Kimura N;Murata M;Jinnai S;Suenaga A;Kohda F;Furue M
Mamushi （Gloydius blomhoffii）蛇咬伤是日本最常见的蛇伤类型，在中国和韩国也有。虽然对马蝇毒的成分进行了研究，但在英语文献中流行病学和临床描述仍然有限。本研究的目的是回顾与Mamushi蛇咬伤相关的损伤患者的临床特点和处理。对2004年1月至2016年11月在日本某综合医院就诊的114例Mamushi蛇咬伤病例进行回顾性分析。数据是从医疗记录中收集的。我们发现，Mamushi蛇咬伤通常发生在夏季和白天，以老年人为典型。初诊时的症状等级在无预约组明显差于救护车入院组，可能是由于治疗延误。刺穿皮肤的毒牙的数量与症状的严重程度无关。止血带治疗组比其他治疗组更频繁地出现症状恶化（p<0.001）。患者被咬到到达医院之间的延迟以及刺穿皮肤的毒牙的数量不影响住院时间；然而，在这种情况下，应避免近端止血带，因为在应用该程序时观察到局部症状明显恶化。
Mamushi (Gloydius blomhoffii) snakebite is the most common type of snake injury in Japan and is also seen in China and Korea. Although the components of Mamushi venom have been investigated, epidemiological and clinical descriptions still remain limited in the English literature. The aim of this study was to review the clinical features and management of patients with injuries related to Mamushi snakebites. We conducted a retrospective examination of 114 Mamushi snakebite cases encountered at a general hospital in Japan from January 2004 to November 2016. Data were collected from the medical records. We found that Mamushi snakebites commonly occurred during summer and the daytime, with elderly men typically being affected. The symptom grade at initial consultation was significantly worse in the walk-in group than in the ambulance admission group, probably due to treatment delay. The number of fangs that pierced the skin was not related to the severity of the symptoms. The group treated with a tourniquet more frequently exhibited exacerbation of symptoms than those that received other treatments (p<0.001). The delay between patients being bitten and arriving at hospital as well as the number of fangs that pierced the skin did not affect the duration of hospitalization; however, proximal tourniquation should be avoided in such cases, as significant exacerbation of local symptoms was observed when this procedure was applied.
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影响因子：
--
作者：
Thapar, Rekha;Darshan, B B;Kanchan, Tanuj
通讯作者：
Kanchan, Tanuj
影响因子：
2.2
作者：
Hifumi, Toru;Yamamoto, Akihiko;Takahashi, Motohide
通讯作者：
Takahashi, Motohide
DOI：
10.4103/0972-5229.106499
发表时间：
2012-10
期刊：
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
影响因子：
--
作者：
Saravu K;Somavarapu V;Shastry AB;Kumar R
通讯作者：
Kumar R
DOI：
10.4269/ajtmh.2004.71.234
发表时间：
2004-08-01
影响因子：
3.3
作者：
Sharma, SK;Chappuis, F;Koirala, S
通讯作者：
Koirala, S
影响因子：
2.7
作者：
IWANAGA, S;SATO, T;SUZUKI, T
通讯作者：
SUZUKI, T