摘要
目的:分析粤闽赣边区蛇咬伤伤情,并探讨抗蛇毒血清干预效果,提高粤闽赣边区蛇咬伤防治水平。方法:选取2018年1月1日-2020年3月31日梅州市人民医院急诊科收治的蛇咬伤中毒患者50例为研究对象,分析蛇咬伤部位、蛇种类、地区、季节、蛇咬伤伤情,并以抗蛇毒血清静脉滴注治疗,以治疗前后检测分析肝肾功能、心肌酶、凝血指标及血小板指标等评价抗蛇毒血清干预效果。结果:蛇咬伤部位以下肢为主,占比74.00%;蛇种类以五步蛇为主,占比32.00%;地区分布以广东梅州占比较高,为36.00%;蛇咬伤季节以夏季为主,占比52.00%;蛇咬伤伤情情况以轻症占比较高,为42.00%。蛇咬伤患者抗蛇毒血清治疗后肝肾功能指标、心肌酶指标、凝血指标及血小板计数均较治疗前明显改善,差异有统计学意义(P<0.05)。结论:蛇咬伤后伤情情况多样,多影响患者肝肾功能、凝血功能等,及时给予抗蛇毒血清干预治疗,能够促进各项指标恢复正常水平,提高治疗效果。
Objective:To analyze the situation of snake bite injury in Guangdong,Fujian and Jiangxi border area,and to explore the intervention effect of antivenom serum,so as to improve the prevention and treatment level of snake bite injury in Guangdong,Fujian and Jiangxi border area.Method:From January 1st,2018 to March 31st,2020,50 cases of snake bite injury poisoning patients admitted in the emergency department of Meizhou People’s Hospital were selected as the study subjects.The snake bite injury site,snake type,region,season and snake bite injury situation were analyzed.Intravenous infusion of antivenom serum was used for treatment.Liver and kidney function index,myocardial enzyme index,blood coagulation index and platelet count were measured before and after treatment to evaluate the effect of antivenom serum intervention.Result:The lower limbs were the main snake bite injury site,accounting for 74.00%.The main snake types were five-step snakes,accounting for 32.00%.In the region distribution,Meizhou,Guangdong was relatively high,accounted for 36.00%.The main snake bite injury season was summer,accounting for 52.00%.In the snake bite injury situation,mild snake bite injury was relatively high,accounted for 42.00%.Liver and kidney function index,myocardial enzyme index,blood coagulation index and platelet count of snake bite injury patients were significantly improved after antivenom serum treatment compared with before treatment,and the differences were statistically significant (P<0.05).Conclusion:The condition after snake bite injury is varied,which mostly affect the liver and kidney function,blood coagulation function of the patients.Timely administration of antivenom serum intervention treatment can promote the recovery of all indexes to the normal level and improve the treatment effect.
作者
廖任峰
李向阳
张冬林
蔡君志
蔡波
LIAO Renfeng;LI Xiangyang;ZHANG Donglin;CAI Junzhi;CAI Bo(Meizhou People’s Hospital,Meizhou 514000,China)
出处
《中外医学研究》
2020年第30期9-11,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
梅州市医药卫生科研项目(2019-B43)。
关键词
蛇咬伤
伤情分析
抗蛇毒血清
干预效果
Snake bite injury
Injury situation analysis
Antivenom serum
Intervention effect
