頁籤選單縮合
題名 | 小孩毒蛇咬傷的治療經驗=Treatment of Poisonous Snakebites in Children |
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作者 | 李俊達; 簡守信; 孫宗伯; | 書刊名 | 慈濟醫學 |
卷期 | 11:4 1999.12[民88.12] |
頁次 | 頁379-384 |
分類號 | 418.8 |
關鍵詞 | 小孩的毒蛇咬傷; 蛇毒素作用; 抗蛇毒血清; Sankebites in children; Envenomation; Antivenin; |
語文 | 中文(Chinese) |
英文摘要 | Poisonous snakebites in children are uncommon. During a 10-year period from January 1987 through December 1996, 12 children < 12 years old were treated at Buddhist Tzu-Chi General Hospital for snakebites. There were 5 Trimeresurus mucrosquamatus bites, 2 Naja naja atra bites, 1 Trimeresurus gramineus bite, and 4 unidentified bites. Two patients had grade I envenomation, 8 had grade II and 2 had grade III. Eleven (92%) patients received antivenin and no patient had excision of the wound in this series. Four (33%) patients had systemic envenomation. Four (33%) patients required further surgery: one had afasciotomy and subsequent skin graft, and the other three had wound debridements and subsequent skin grafts. Only one(9%) of the 11 patients who received antivenin developed serum sickness. There were no deaths and no long-term morbidity. From our experience, and because severe envenomation usually develops in children with poisonous snakelnfes, the disease should be regarded as a surgical emergency. We strongly recommend early excision of the wound and antivenin given according to the severity of the clinical symptoms and signs. The amount of antivenin may be increased to double the adult dose. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。