A clinico-epidemiological study of snake bite in Nepal
A clinico-epidemiological study of snake bite in Nepal
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DOI：
10.1177/004947559802800412
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发表时间：
1998-10-01
期刊：
影响因子：
0.6
通讯作者：
Koirala, S
中科院分区：
文献类型：
--
作者：
Hansdak, SG;Lallar, KS;Koirala, S
毒蛇咬伤是一种重要的医疗状况，经常在BPKIHS医院（尼泊尔达兰）的急诊科遇到。本文对1993年8月至1994年11月在我科就诊的52例疑似蛇咬伤患者进行了回顾性分析。结果表明，蛇咬伤以11 ~ 20岁年龄组为多见（36.7%），男性为2.5倍。百分之五十七的叮咬发生在1600小时和午夜之间，最高的发病率（51%）发生在季风期间（8月至10月）。20%的患者能够确定蛇的种类是有毒的，90%的患者在被咬伤后3小时内到医院就诊。60%的咬伤发生在下肢。9名患者（17%）记录了因毒液中毒引起的神经毒性。未记录凝血病病例。总体病死率为3.8%，但表现出神经毒性体征的患者死亡率为22%。
Envenoming from snake bite is an important medical condition, frequently encountered at the emergency department of BPKIHS hospital (Dharan, Nepal). This is a retrospective study of 52 cases of suspected snake bite who presented at the department from August 1993 to November 1994.Analysis of the data showed that snake bite was more frequent between the ages of 11 to 20 years (36.7%) and 2.5 times more common in males. Fifty-seven per cent of the bites occurred between 1600 h and midnight with highest incidence (51%) occurring during the monsoon (August-October). Twenty per cent of the patients were able to identify the snake species as venomous and 90% of them presented to the hospital within 3 h of being bitten. Sixty per cent of the bites were in the lower limb. Neurotoxicity due to envenoming was recorded in nine patients (17%). No case of coagulopathy was recorded. The overall case fatality was 3.8% but mortality amongst those exhibiting signs of neurotoxicity was 22%.