頁籤選單縮合
題 名 | 蛇咬傷三十五個病例臨床分析=Snake Bite: Clinical Analysis of 35 Cases |
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作 者 | 陳靖博; 梁約翰; 許國泰; | 書刊名 | 中華民國家庭醫學雜誌 |
卷 期 | 7:2 1997.06[民86.06] |
頁 次 | 頁106-111 |
分類號 | 418.8 |
關鍵詞 | 蛇咬傷; 臨床分析; Snakebites; Antivenin; |
語 文 | 中文(Chinese) |
中文摘要 | 蛇咬傷的本土醫學資料較少且年代較久遠。本篇收集35個遭咬傷的病例予以臨床分 析,男女比例為 4:1, 死亡率為 3 %。 以青竹絲及不明蛇類佔多數, 遭受咬傷的病人以 51-60 歲居多,季節則以五、六、七、十月最多,咬傷部位以兩側手指為多數,約 45 %的 病人須注射一劑的抗蛇毒血清,但是也有高達 34 %的病人不須注射抗蛇血清,而遭鎖鏈蛇 咬傷的病人有急性腎衰竭的併發症。吾人以為正確的臨床診斷與治療是照顧此類病人所必需 的。 |
英文摘要 | We collected 35 cases of snakebites from July 1992 to June 1995. The majority of the cases were bitten by Trimeresurus stejnegeri schmidt and unknown snakes. The most patients (28.6%) were between 50 and 60 years old and bitten in May, June, July and October. The major inflicted area was fingers. Although most patients had to receive one dose antivenin therapy (45%), there were also about 34% patients who needed no antivenin injection. Serum sickness that was induced by antivenin was noted in three patients (8.6%). Acute renal failure was found in patients bitten by Vipera russell formosensis. The complication of upper gastrointestinal bleeding was found in three patients (8.6%). There was bleeding tendency in hemorrhagic and mixed type snakebites. Nine patients (25.7%) had prolong prothrombin time (PT) and 12 patients (34.3%) had prolong activated partial thrombin time (APTT). Three patients had thrombocytopenia (8.6%). DIC was found in three patients (8.6%). One patient had compartment syndrome. The only one fatal case bitten by Vipera russell formosensis was due to severe gastrointestinal bleeding. In conclusion, prompt identification of the severity of snakebite is the cornerstone of treatment. Furthermore, an efficient poison center may play an important role by providing snake identification and therapy recommendation. |
本系統中英文摘要資訊取自各篇刊載內容。