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相關文獻
- Management of Poisonous Snake Bites in Southern Taiwan
- 毒蛇咬傷在臺灣
- 小孩毒蛇咬傷的治療經驗
- 毒蛇咬傷病患之護理
- Influential Factors Affecting Prognosis of Snakebite Patients Management: Kaohsiung Chang Gung Memorial Hospital Experience
- 如何治療「毒」蛇咬傷?
- The Painful Experience of Inappropriate Therapy of Snake Bites:A Report of Two Cases
- 龜殼花咬傷合併急性腎衰竭--一病例報告暨文獻回顧
- Venomous Snake Bites in Taiwan
- 毒蛇咬傷的處置
頁籤選單縮合
題名 | Management of Poisonous Snake Bites in Southern Taiwan=南臺灣毒蛇咬傷之醫療 |
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作者 | 張高評; 賴春生; 林幸道; Chang, Kao-ping; Lai, Chung-sheng; Lin, Sin-daw; |
期刊 | The Kaohsiung Journal of Medical Sciences |
出版日期 | 20071000 |
卷期 | 23:10 2007.10[民96.10] |
頁次 | 頁511-518 |
分類號 | 418.8 |
語文 | eng |
關鍵詞 | 急性腎衰竭; 蛇毒; 毒蛇咬傷; Acute renal failure; Envenomation; Snake bite; |
中文摘要 | 台灣是毒蛇咬傷好發率的地區,而本研究更針對在南台灣五年來的毒蛇咬傷作一完整統計分析。從 2001 年至 2005 年,高雄醫學大學附設醫院共收集 37 個毒蛇咬傷案例,排除 3 個案例是由不知名的毒蛇咬傷外,其餘均詳實分析毒蛇種類、所引發的局部及全身性症狀、併發症的治療以及治療結果。在這 34 位個案中,11 位 (32.4%) 是由青竹絲咬傷、10 位 (29.4%) 鎖鏈蛇咬傷、8 位 (23.5%) 是眼鏡蛇咬傷以及 5 位 (14.7%) 是龜殼花咬傷;大部份毒蛇咬傷多發生在 5 月及 11 月之間,所有個案中沒有死亡案例。經過分析結論,快速且正確的使用毒蛇血清、密切觀察毒性反應、重症照護設備的需求,以及及時轉診至教學醫院的可易性,都是降低毒蛇咬傷致死的因素。 |
英文摘要 | Snake bite envenomation is not uncommon in Taiwan. This study focuses on the pattern of poisonous snake bites and their management in southern Taiwan over a 5-year period. The case histories of 37 patients with poisonous snake bites admitted to the Kaohsiung Medical University Hospital between June 2001 and July 2005 were analyzed retrospectively. Three patients, bitten by unknown species of venomous snakes, were excluded from this study. The frequency of snakebites from each species of snake, the local and systemic manifestations of snake bite, treatment of complications and final outcomes were analyzed. Of the remaining 34 patients, 11 (32.4%) were bitten by bamboo vipers, 10 (29.4%) by Russell's pit vipers, 8 (23.5%) by Taiwan cobras and 5 (14.7%) by Taiwan Habu. The majority of snake bites (28) occurred between May and November. Those affected were mainly outdoor hikers (14) and workers (9). The antivenin requirements for treatment in the emergency room were in accordance with standard procedures. No mortality was noted among those envenomed by poisonous snakes. Although poisonous snake bite is not a common life-threatening emergency in the study area, we observed both an environmental risk and a seasonal incidence of snake bite. Keeping the varied clinical manifestations of snake bite in mind is important for effective management. Ready availability and appropriate use of antivenin, close monitoring of patients, institution of ventilatory support and early referral to a larger hospital when required, all help reduce mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。