Snake envenomation in a north Indian hospital
Snake envenomation in a north Indian hospital
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DOI：
10.1136/emj.2003.008458
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发表时间：
2005-02-01
影响因子：
3.1
通讯作者：
Varma, S
中科院分区：
文献类型：
--
作者：
Sharma, N;Chauhan, S;Varma, S
目的：研究北印度医院的蛇毒疗法的临床概况。方法：回顾性病例案例分析分析所有蛇的案例分析，从1997年1月至2001年12月至12月。蛇咬伤有86张甲虫，出现神经分析症状和52个毒蛇咬伤，患有止血异常。当患者入睡时，大约60.6％的蛇咬病例发生。城市与农村比率为1：4.7，男性与女性比率为4.25：1。叮咬后到达医院的中位时间为9个小时，平均住院时间为八天。二十七个病例患有急性肾衰竭，在所有弹药叮咬中，有75％需要辅助通风。 119例接受抗蛇毒的患者中有17例发生了不良事件。抗鞭毛的平均剂量为51.2个小瓶，毒蛇叮咬的31个小瓶。总体死亡率为3.5％。判断：蛇位在发展中国家的农村人口中很常见。有必要对公众进行有关蛇咬，早期医院转诊和治疗的危害的教育。
Objectives: To study the clinical profile of snake envenomation in a tertiary referral north Indian hospital.Methods: Retrospective case note analysis of all cases of snakebite admitted to the medical emergency from January 1997 to December 2001.Results: Of a total of 142 cases of snakebite there were 86 elapid bites presenting with neuroparalytic symptoms and 52 viper bites having haemostatic abnormalities. Some 60.6% of the cases of snakebite occurred when the patient was asleep. Urban to rural ratio was 1:4.7 and male to female ratio was 4.25:1. Median time to arrival at our hospital after the bite was nine hours and mean duration of hospital stay was eight days. Twenty seven cases had acute renal failure and 75% of all elapid bites required assisted ventilation. Seventeen of 119 patients who received antivenom had an adverse event. The average dose of antivenom was 51.2 vials for elapid bites and 31 vials for viper bites. Overall mortality rate was 3.5%.Conclusion: Snakebites are common in the rural population of developing countries. There is a need to educate the public about the hazards of snakebite, early hospital referral, and treatment.