摘要
目前蛇咬伤的发病率和死亡率仍居高不下,各地毒蛇种类较多且蛇毒毒素成分复杂,尚缺乏快速区分毒蛇种类与蛇毒成分的有效方法。因此,对于毒蛇致伤患者的诊断和救治仍存在一定问题,近年来关于毒蛇致伤诊治方面的文献虽时有报道,但随着医疗技术的快速发展和知识的日益更新,毒蛇致伤的临床诊治方法需要更新。为此,湖北省中毒与职业病救治联盟连同国内多家医疗机构,综合相关专家的学术和临床经验起草本专家共识,并和部分毒蛇致伤高发地区的临床专家实战运用,最后提交本共识专家委员会讨论通过,就毒蛇咬伤的临床诊治规范达成共识。本文旨在帮助临床医护人员对毒蛇致伤患者做出实用可行的评估与治疗方案。
At present,the morbidity and mortality of snakebite are still high.There are many kinds of venomous snakes in different regions and the composition of venomous venom is complex.It is not possible to quickly distinguish between the species of venomous snakes and the composition of their venom.Therefore,there still exits some problems in the diagnosis and treatment of patients injured by poisonous snakes.Although the literature on the diagnosis and treatment of venomous snake injury has been reported in recent years,the clinical diagnosis and treatment methods of poisonous snakes need to be updated,with the rapid development of medical technology and the update of knowledge.Therefore,Hubei Provincial Alliance for Treatment of Poisoning and Occupational Diseases,together with a number of domestic medical institutions,drafted this expert consensus based on the academic and clinical experience of relevant experts,and applied it with clinical experts in some areas with high incidence of venomous snake injuries.Finally,it was discussed and approved by the expert committee,and a consensus was reached on clinical practice for snakebite.The purpose of this paper is to help clinical staff to make practical and feasible evaluation and treatment plan for patients injured by poisonous snakes.
作者
朱元州
杜宇
荣霞
Zhu Yuanzhou;Du Yu;Rong Xia(Poisoning and Occupational Disease Treatment Alliance in Hubei Province;Liyuan Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology;The Fourth Hospital of West China of Sichuan University;Chengdu Institute of Biology of Chinese Academy of Sciences;Toxicology Institute of Nanjing Medical University;The First Affiliated Hospital of Nanjing Medical University;The Affiliated Hospital of Hainan Medical College;The Affiliated Hospital of Nanhua University;Zhongshan Hospital of Zhejiang Chinese Medicine University;Zhongnan Hospital of Wuhan University;Hubei Maternal and Child Health Hospital;Wuhan Children's Hospital;Shenzhen Yantian District People's Hospital;Yichang Central People's Hospital;Xiangyang Central Hospital)
出处
《巴楚医学》
2023年第4期1-13,共13页
Bachu Medical Journal
关键词
毒蛇
蛇咬伤
中毒
共识
poisonous snake
snakebite
poisoning
consensus
