减少术后尿失禁及尿道狭窄的前列腺癌根治术(附42例报告)

目的探讨减少前列腺癌根治术后尿道狭窄及尿失禁的术式. 方法采用膀胱颈粘膜外翻固定再与尿道对端吻合及保留膀胱颈环状肌纤维的前列腺癌根治术治疗前列腺癌42例. 结果 42例术后均未发生膀胱尿道吻合口狭窄,尿失禁2例.随诊4～70个月,最大尿流率25.0～30.7 ml/s. 结论采用膀胱颈粘膜外翻固定再与尿道对端吻合及保留膀胱颈环状肌纤维的前列腺癌根治术,术后避免或减少了尿道狭窄,减低尿失禁的发生.     

减少术后尿失禁及尿道狭窄的列腺癌根治术（附42 例报告）

目的：探讨减少前列腺癌根治术后尿道狭窄及尿失禁的术式。方法：采用膀胱颈粘膜外翻固定再与尿道对端吻合及保留膀胱颈环状肌纤维的前列腺癌根治术治疗前列腺癌42例。结果：42例术后均发生膀胱尿道吻合口狭窄，尿失禁2例。随诊4－70个月，最大尿流率25．0－30．7ml/s。结论：采用膀胱颈粘膜外翻固定再与尿道对端吻合及保留膀胱颈环肌纤维的前列腺癌根治术，术后避免或减少了尿道狭窄，减低尿失禁的发生。     

尿动力学评价子宫切除术后尿潴留及Credé手法治疗1年疗效分析

目的:探讨因子宫颈癌行广泛子宫切除术后尿潴留患者下尿路尿动力学特点,评价Crede手法治疗子宫切除术后尿潴留患者的疗效。方法:回顺性分析因子宫颈癌行广泛性子宫切除术后尿潴留患者47例,年龄(40.5±11.7)岁,所有患者术前及术后3个月均行尿动力学检查。术后3个月开始行Crede手法辅助排尿,治疗1年后行尿动力学检查随访。比较手术前后和行Crede手法排尿1年后尿动力学指标的变化。结果:术后最大尿流率(MFR)、平均尿流率(AFR)、排尿量(VV)、最大逼尿肌收缩压(MDP)和膀胱顺应性(BC)明显低于手术前[MFR(10.9±5.3)ml/s vs.(23.4±6.3)ml/s;AFR(4.6±2.1)ml/s vs.(12.4±5.7)ml/s;VV(161.2±127.2)ml vs.(350±135)ml;MDP(1.65±2.34)kPa vs.(3.82±1.72)kPa;BC(33.3±48.2)ml/cmH_2Ovs.(98±57.5)ml/cmH_2O];剩余尿量(PVR)和尿流时间(VT)较术前明显增多或延长[PVR(147±158)ml vs.(8.7±4.9)ml;VT(42.3±23.4)s vs.(28.5±14.7)s]。Crede手法辅助排尿1年后,患者总漏尿次数、下尿路功能症状评分较治疗前显著降低[TLT(5±3)次vs.(13±4)次;LUTS(16±5)分vs.(29±3)分]。患者最大尿流率[(14.0±7.8)ml/s,平均尿流率(6.7±4.3)ml/s]和膀胱顺应性[(56.9±29.4)ml/cmH_2O]较治疗前明显改善(P0.05),剩余尿量(20.0±13.8)ml较治疗前明显减少。结论:广泛子宫切除术后长期尿潴留患者下尿路的尿动力学特点主要表现为逼尿肌收缩乏力或者无收缩,部分术后逼尿肌无收缩的患者术后1年出现逼尿肌收缩,提示重新获得神经支配。Crede手法辅助排尿对治疗子宫颈癌手术后逼尿肌收缩乏力致尿潴留的患者切实有效。     

经尿道电切术治疗女性膀胱颈梗阻12例

目的探讨经尿道电切治疗女性膀胱颈梗阻的疗效。方法对12例女性膀胱梗阻患者行径尿道膀胱颈电切术治疗,年龄51±13岁,病程3个月-5年,尿流率3.8±11.4ml／s,残余尿200-800ml术后随诊6个月以上。结果手术均获成功,手术时间15-50min,平均25min,术中出血〈20ml。12例患者排尿症状评分,最大尿流率平均18ml／s,残余尿均〈50ml。最大尿流率、残余尿量等均较术前显著改善,随访无尿失禁、尿瘘发生。结论经尿道电切术治疗女性膀胱颈梗阻疗效显著,并发症少。     

输尿管扩张导管联合球囊扩张导管处理尿道狭窄的临床体会

目的:探讨输尿管镜下输尿管扩张导管联合高压球囊扩张导管在男性尿道狭窄治疗中的临床疗效。方法:45例尿道狭窄患者在输尿管镜直视下置入斑马导丝通过尿道狭窄段进入膀胱,退镜后沿导丝置入输尿管扩张导管扩张,从F8开始依次扩张至F14~F16。再沿导丝置入输尿管镜并通过扩张后的尿道狭窄段观察狭窄段长度及估计狭窄段离尿道外口的距离及有无偏离正道,观察完毕后退镜。F24球囊扩张导管沿导丝置入到达尿道狭窄段,并再次置入输尿管镜观察并调整球囊位置后固定球囊扩张导管,加压扩张后再用金属尿道扩张器扩张尿道。留置F18~F22导尿管8周后拔除并复查尿流率,拔管3个月再次复查尿流率。结果:45例患者均手术顺利,无严重并发症发生,术后8周时拔除尿管复查最大尿流率(Qmax)为13.3~29.9(17.7±3.2)ml/s,3个月后复查Qmax为15.2~30.8(19.8±3.9)ml/s,术后随访6~24个月均排尿良好。结论:输尿管镜下输尿管扩张导管联合高压球囊扩张导管治疗男性尿道狭窄操作简单、安全、有效,并发症较少,患者痛苦小、成功率高并可重复操作。     

输尿管镜下电切结合尿道扩张治疗尿道严重狭窄或闭锁

目的探讨输尿管电切镜治疗尿道狭窄或闭锁的效果。方法对尿道严重狭窄,经多次单纯尿道扩张术及尿道镜冷刀切开失败者58例,输尿管电切镜切除瘢痕梗阻组织,定期尿道扩张,定期复查尿流率、膀胱残余尿。结果本组均一次手术成功。术后随访6个月,54例最大尿流率〉15 ml/s,膀胱残余尿〈20 ml,继续随访至1年,未再狭窄。4例术后2个月再次狭窄,1例行膀胱造瘘术,另3例再次行输尿管电切镜治疗后,尿道扩张,继续随访6个月,其中2例最大尿流率达到并稳定于12 ml/s,膀胱残余尿〈20 ml,随访1年稳定,另1例再次狭窄,未再治疗。结论输尿管电切镜结合定期尿道扩张术治疗尿道狭窄,疗效肯定,适合于狭窄长度〉0.5 cm、尿道完全闭锁、普通尿道镜操作不便或无法通过的病例。     

电子输尿管镜联合2μm激光治疗尿道狭窄的疗效分析

目的探讨电子输尿管镜联合2μm激光治疗尿道狭窄的疗效。方法山西大医院2012年1月至2014年8月采用电子输尿管镜联合2μm激光治疗尿道狭窄30例(长度1.0~2.5 cm,平均1.3±0.4 cm),术后6周拔除尿管,定期尿道扩张4~6次。结果本组30例,1次手术成功率100%,手术时间20~60 min,平均(34±9)min,拔除尿管后最大尿流率(Qmax)为15.9~25.5 ml/s,平均(21.2±3.2)ml/s。全部病例均未出现严重出血、尿道穿孔、假道形成、尿瘘、直肠损伤、尿失禁等并发症。随访4~12个月,29例术后无复发和再狭窄,最大尿流率(Qmax)均15 ml/s,膀胱残余尿量50 ml,1例术后3个月尿线变细,行膀胱镜下尿道扩张后治愈。结论电子输尿管镜联合2μm激光治疗尿道狭窄,手术视野清晰、创伤小、并发症少、效果明显、安全可靠,近期疗效满意。     

腹腔镜前列腺癌根治术中采用膀胱颈口荷包缝合联合尿道周围组织重建的早期尿控效果北大核心CSCD

目的探讨腹腔镜前列腺癌根治术中采用膀胱颈口荷包缝合联合尿道周围组织重建的早期尿控效果。方法2020年2月~2021年4月我们在20例腹腔镜前列腺癌根治术中采用膀胱颈口荷包缝合联合尿道周围组织重建。尿道后壁重建:将狄氏筋膜残端与尿道括约肌后壁中线结构缝合,再缝合至膀胱颈后壁筋膜;膀胱颈口荷包缝合及尿道吻合:将膀胱颈口肌层做连续荷包缝合,端端吻合膀胱颈及尿道;尿道前壁重建:将耻骨前列腺韧带与膀胱前壁连续缝合、悬吊尿道。结果20例手术均顺利完成,无中转开放或其他术式。手术时间(200.0±54.9)min,术中出血量(44.3±19.8)ml,术后住院时间(8.9±2.8)d,引流管留置时间(7.6±2.7)d,导尿管留置时间(12.9±2.6)d。术后病理:T2a期1例,T2b期4例,T2c期7例,T3a期5例,T3b期3例;术后标本病理Gleason评分:6分1例,7分9例,8分4例,9分5例,10分1例;切缘阳性率10%(2/20)。拔除导尿管后即刻和术后1、3、6个月尿控良好率分别为70%(14/20)、85%(17/20)、95%(19/20)、100%(20/20)。结论腹腔镜前列腺癌根治术中采用膀胱颈口荷包缝合联合尿道周围组织重建安全、可行,操作容易,患者术后早期尿控恢复满意。     

经尿道前列腺电切术后尿道狭窄的原因分析

目的 分析并探讨经尿道前列腺电切术(TURP)术后尿道狭窄的原因,避免其发生.方法 回顾性分析我院1999年1月至2010年1月收治的23例前列腺电切术后尿道狭窄患者,年龄57~78岁,平均67.8岁;狭窄段尿道长度为1.6~3.5cm(平均2.3cm);最大尿流率为4～14ml/s,平均75ml/s;术后出现狭窄的时间为1个月~17年,平均25个月.其中前尿道狭窄6例,后尿道狭窄15例,膀胱颈口处狭窄2例.对于明确的尿道狭窄患者,针对不同情况分别给予尿道扩张、尿道内冷刀切开、残留前列腺组织切除或瘢痕切除处理.结果 随访3个月~6个月,23例患者中6例前尿道狭窄经定期尿道扩张后症状消失,疗效满意.后尿道狭窄的15例患者,2例采用定期尿道扩张的方法治愈,3例行残留腺体切除后症状逐渐缓解,另外1例因后尿道瘢痕较多,于尿道内行冷刀切开后复发,其余后尿道狭窄患者疗效满意.膀胱颈口处狭窄的2例患者,行膀胱颈口冷刀切开及瘢痕切除后治愈.术后23例患者最大尿流率19~29 ml/s,平均24.4 ml/s.结论 尿道狭窄是TULIP术后常见的并发症,其发生与尿路感染、操作损伤、术后留置尿管过粗、置管时间过长、腺体残留等因素密切相关.     

经尿道双极等离子电切术治疗女性膀胱颈梗阻的临床分析

目的探讨经尿道双极等离子电切术治疗女性膀胱颈梗阻的疗效。方法采用经尿道膀胱颈电切术(TURBN)加钩状电极颈口切开治疗63例女性膀胱颈梗阻。术前均行尿流动力学检查和膀胱镜检查,45例行经尿道膀胱颈后唇切除术,18例行经尿道膀胱颈后唇切除术加膀胱颈12点位纵行切开术。结果平均手术时间15(10～46)min,失血<10ml,无水中毒及尿失禁发生。术后病理报告为膀胱颈黏膜下纤维组织增生伴玻璃样变性,部分平滑肌变性增生及黏膜下炎性细胞浸润。本组63例均获随访,平均13.5(1～24)个月,治疗后生活质量评分由4.3±1.2降至1.6±0.5(P<0.01),最大尿流率由4.8±2.6ml/s升至19.2±5.8ml/s(P<0.01),残余尿量由320.5±168.5ml降至26.3±16.4ml(P<0.01)。结论经尿道双极等离子电切术是治疗女性膀胱颈梗阻的有效方法。     

腹膜后淋巴结清扫在睾丸癌治疗中的应用

腹膜后淋巴结清扫术(RPLND)对分期和治疗睾丸的非精原细胞瘤(NSGCT)有重要作用。RPLND可治愈大多数低负荷转移瘤患者,并最大程度地减少对化疗的需求。开放RPLND手术解剖范围广,术后很大一部分患者出现逆行射精从而导致不育,而且并发症发生率较高。而不断发展的改良RPLND模板有助于降低逆行射精风险,但可能漏掉3%～23%的病灶。而对于化疗后复发的患者,经过严格筛选,在有经验的中心实施化疗后RPLND(PC-RPLND),仍然还能获得较好的肿瘤控制效果。双侧RPLND有利于控制肿瘤,如果行保留神经手术也可以保留顺行射精,而改良的RPLND模板在保留顺行射精的同时也取得了较好的肿瘤控制效果。随着腹腔镜技术的逐步成熟,腹腔镜RPLND也达到了与开放手术相似的手术效果,且并发症发生率更低,术后恢复更快。本文对RPLND在睾丸癌中的适应证、手术方式及手术范围等方面展开探讨。     

中国与东南亚女大学生体力活动水平与骨密度比较研究

目的了解中国女大学生在体力活动水平和骨密度方面与东南亚地区女大学生之间存在的差异,并探讨体力活动水平与骨密度的相关性。方法随机选取广西医科大学女大学生373名,包括中国的271名,东南亚地区的102名,采用国际体力问卷(中文版)收集其近1周内体力活动情况,GE express骨密度仪测量双脚骨密度,采用SPSS 22.0软件进行统计分析。结果(1)东南亚国家女留学生的体质量指数(body mass index, BMI)、腰臀比(waist-to-hip ratio,WHR)稍高于中国在校女大学生,其骨质量指数(bone quality index,BQI)、T值、Z值均低于中国在校大学生,两组的T值、Z值比较差异有统计学意义(P0.05)。(2)调整年龄、身高、体重、BMI、WHR之后,在校中国女大学生与东南亚国家女留学生的BQI、T值、Z值的差异仍有统计学意义(P0.05),且中国组的骨密度高于东南亚组。(3)不同体力活动水平中,只有高强度体力活动水平对骨密度的影响差异有统计学意义(P0.05),其他3个方面如步行、中等强度、总体力活动水平对骨密度差异没有统计学意义(P0.05)。(4)在校中国女大学生与东南亚地区女大学生在步行、中等强度、高强度以及总体力4个活动水平上的差异均无统计学意义(P0.05)。结论中国在校女大学生的骨密度情况优于东南亚地区女大学生;高强度体力活动水平对骨密度的增加有正向积极影响。     

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??Immediate breast reconstruction using prosthesis after nipple-sparing mastectomy for breast diseases??a report of 10 cases ZHANG Ya-nan*, QIAN Hong-mei, YOU Cheng-zhong, et al. *Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing 210009, China
Corresponding author: ZHANG Ya-nan, E-mail: zhangyanan79@126.com
Abstract Objective To investigate the indications, surgical methods, effects and feasibility of immediate breast reconstruction after nipple-sparing mastectomy. Methods The immediate breast reconstruction after nipple-sparing mastectomy was performed in 10 cases of breast disease from January 2009 to October 2010 in Zhongda Hospital of Southeast University. The effects of reconstructed breast were evaluated according to objective and subjective criteria. Postoperative complications were observed and therapeutic effects were followed up. Results All operations were successful. Two cases had slight complications in early postoperative stage and were cured quickly. The aesthetic outcome and the satisfactory rate were all 100% during 6—18 months follow-up. No recurrence and metastasis were founded in 7 cases. Conclusion The operation method of immediate breast reconstruction after nipple-sparing mastectomy is maneuverable and has excellent effect of aesthetics with no influence of the therapy of breast diseases.     

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??Laparoscopic low anterior resection combined with “dog ear” invagination anastomosis for mid-and distal rectal neoplasm ZHANG Liang??XIE Zhi-yuan??ZHANG Wen-tao??et al. Gastrointestinal Surgery, The Affiliated XuZhou Hospital of Medical College of Southeast University, Xuzhou Engineering Technology Research Center of Laparoscopic Diagnosis and Treatment, Xuzhou 221009??China
Corresponding author: LYU Xiao-peng??E-mail??lvxiaopeng2017@126.com
Abstract Objective To investigate the feasibility and outcome of laparoscopic low anterior resection combined with “Dog Ear” invagination anastomosis for mid-and distal rectal neoplasm. Methods The clinical data of 18 patients undergoing laparoscopic low anterior resection combined with “dog ear” invagination anastomosis in department of gastrointestinal surgery??the Affiliated XuZhou Hospital of Medical College of Southeast University from January 2015 to May 2016 were analyzed retrospectively??and technical notes were summarized. Results Laparoscopic low anterior resection combined with “dog ear” invagination anastomosis was performed successfully in 18 patients. No patients had conversion. Median operation time was 150??120??180??min. No fistulas occurred after surgery??one at anastomotic bleeding. No defunctioning stoma occurred in operation. Defecation frequency 3 months after surgery was ??3.6±1.3??times per day. The mean Gastrointestinal Quality of Life was??92.8±12.1??points. Conclusion Laparoscopic low anterior resection combined with “dog ear” invagination anastomosis is safe and feasible. Postoperative defecation and quality of life are satisfactoty. This modified surgery play a positive role in reducing the incidence of anastomotic leakage and defunctioning stoma.     

保留乳头乳晕乳腺全切除术后Ⅰ期假体植入10例报告

目的探讨保留乳头乳晕的乳腺全切除术后Ⅰ期乳房重建的适应证、方法、效果及可行性。方法东南大学附属中大医院2009年1月到2010年10月对10例病人行保留乳头乳晕的乳腺全切术及Ⅰ期假体植入的乳房重建术,术后从客观和主观两个角度评价美容效果,观察其并发症及随访治疗效果。结果所有病人手术成功。术后早期,2例出现轻微并发症,予以对症治疗后痊愈。术后随访6～18个月,主、客观评价的优良率均为100%。其中7例乳腺癌病人局部无复发,远处无转移。结论保留乳头乳晕的乳腺全切术后Ⅰ期乳房重建术的手术操作简单易行,美容效果好,无严重并发症,且不影响乳腺疾病的治疗。     

肝内胆管癌肝切除术后“教科书式结局”影响因素分析及预测模型建立

目的 分析肝内胆管癌（ICC）病人肝切除术后“教科书式结局”（TO）的影响因素，构建预测TO评分模型。方法 回顾性分析2011年1月至2017年1月东南大学附属中大医院和中国人民解放军东部战区总医院八一医院收治的261例行肝切除术的ICC病人临床病理资料，分析影响TO的独立危险因素，根据危险因素的权重构建预测TO的评分模型。结果 261例ICC病人中，67例（25.7%）术后发生TO。年龄、肝硬化、手术时间和T分期［第8版美国癌症联合委员会（AJCC）癌症分期］为术后TO的独立预测因素。依此4项因素构建的评分模型显示了较好的预测准确性，最佳截断值为-1.9分，其敏感度为67.2%，特异度为62.9%。一致性检验显示其预测概率和实际发生概率有着较好的一致性（χ2=1.350，P=0.853）。结论 基于年龄、肝硬化、手术时间、T分期4个因素建立的评分模型可较准确地预测ICC病人术后TO的可能性，即手术时间短、无肝硬化、肿瘤直径<5 cm的年轻ICC病人肝切除后获得TO的可能性更大。     

管状吻合器使用不当致吻合口梗阻35例临床分析

目的 探讨管状吻合器在胃肠外科应用中致吻合口梗阻的原因及其预防和治疗方法。方法 回顾性分析2003年7月至2014年12月东南大学附属中大医院普外科使用管状吻合器发生吻合口梗阻的35例病人的临床资料。从吻合口类型、发生部位、梗阻类型、发现梗阻时间等方面进行分析。结果 （1）吻合口的类型：小肠端对侧吻合口29例（82.9%）,食管空肠端对侧吻合口2例（5.7%）,回肠结肠侧对端吻合口2例（5.7%）,结肠直肠侧对端吻合口2例（5.7%）。（2）吻合口梗阻发生在小肠33例（94.3%）,梗阻发生在结肠2例（5.7%）。（3）吻合口梗阻类型：完全梗阻32例（91.4%）、部分梗阻3例（8.6%）。（4）吻合口梗阻发现的时间：术中即刻发现吻合口梗阻31例（88.6%）,术后因吻合口梗阻再次手术时发现4例（11.4%）。对于术中发现的吻合口梗阻,及时重新吻合;对于术中未发现的吻合口梗阻,须再次手术,重新吻合。结论 管状吻合器使用不当可导致肠管的黏膜和黏膜下层滑动,对侧的黏膜和黏膜下层被钉入吻合口,最终导致吻合口梗阻;术中选择合适的吻合器、精湛的吻合技术和吻合后常规检测吻合口,可有效避免吻合器使用不当而导致的吻合口梗阻。     

Bone Density in an Immigrant Population from Southeast Asia

The epidemiology of bone loss in populations of Asian heritage is still poorly known. This study compared the skeletal status of a convenience sample of 396 Southeast Asian immigrants (172 Vietnamese, 171 Cambodians and 53 Laotians) residing in Rochester, Minnesota in 1997 with 684 white subjects previously recruited from an age-stratified random sample of community residents. Areal bone mineral density (BMD, g/cm²) and volumetric bone mineral apparent density (BMAD, g/cm³) were determined for lumbar spine and proximal femur using the Hologic QDR 2000 instrument for the white population and the QDR 4500 for Southeast Asian subjects; the machines were cross-calibrated from data on 20 volunteers. Lumbar spine BMD was 7% higher in white than Southeast Asian women ( p < 0.001), and similar results were observed for the femoral neck; lumbar spine BMD was 12% higher in white than nonwhite men ( p < 0.001). Race-specific discrepancies were reduced by calculating BMAD: for premenopausal women, lumbar spine and femoral neck differences between whites and Southeast Asians were eliminated; for postmenopausal women the lumbar spine differences persisted ( p < 0.0001), while femoral neck BMAD was actually higher for Southeast Asians. There were no race-specific differences in femoral neck BMAD among men of any age ( p= 0.312), but lumbar spine BMAD was less for younger ( p= 0.042) but not older ( p= 0.693) Southeast Asian men. There were differences among the Southeast Asian subgroups, but no clear pattern emerged. Predictors of lumbar spine BMAD in Southeast Asian women were age ( p < 0.001), weight ( p= 0.015) and gravidity ( p= 0.037). Even after adjusting for bone size using BMAD, 32% and 9% of Southeast Asian women and men, respectively, would be considered to have osteoporosis at the femoral neck and 25% and 4%, respectively, at the lumbar spine. These findings indicate a need for culturally sensitive educational interventions for Southeast Asians and for physicians to pursue diagnosis and treatment to prevent osteoporosis-related disabilities in this population. Received: 12 October 2000 / Accepted: 15 February 2001     

腹腔镜阑尾切除术中转开腹相关危险因素的分析

目的:探讨影响腹腔镜阑尾切除术(laparoscopic appendectomy,LA)中转开腹的相关因素。方法:回顾分析2014年4月至2016年5月施行LA的患者中6例急性阑尾炎患者中转开腹的临床资料,分析影响中转开腹的相关危险因素。结果:LA中转开腹率为4.2%。单因素分析表明,发病时间、阑尾致密粘连、根部坏疽或穿孔、盲肠后位阑尾与LA中转开腹有关(P0.05)。Logistic回归分析表明,阑尾致密粘连(OR=1.258,P0.05)是LA中转开腹的独立危险因素。结论:阑尾致密粘连是LA中转开腹的独立危险因素。术前应建立合理的评判标准、选择合理的手术时机及手术方式,尽可能避免中转开腹。     

Snakebite-induced acute kidney injury: data from Southeast Anatolia

Renal failure is an important complication of snakebite and a major cause of mortality. We aimed to study the clinical profile of snake envenomation in Southeast Anatolia, Turkey, in an adult population. We retrospectively analyzed the records of 200 snakebite victims from 1998 to 2006 at the Dicle University School of Medicine, Diyarbakir, Turkey. Sixteen patients (8%) developed AKI (acute kidney injury). Of those, 25% required dialysis and 18% died. There was no difference between groups in age, arrival time to hospital, and hospital stay time. Both groups received similar hydration and therapy at admission. Disseminated intravascular coagulation (DIC) was observed in 25% of the AKI group and was significantly higher than the non-AKI group (7.1%; p = 0.014). There was no significant difference regarding hemoglobin, platelet levels, and prothrombin time at admission. The prevalence of thrombocytopenia (<150,000 K/UL ) was 60% in the AKI group and 40% in the non-AKI group (p > 0.05). WBC count was significantly higher in the AKI group than in those without AKI (p = 0.001); serum albumin was significantly lower in the AKI group than in those without AKI (p = 0.013). AKI is an important complication of snakebite that may lead to mortality. Despite some troublesome aspects due to its retrospective design, this is a large series from Southeast Anatolia of Turkey in an adult population. Subjects with high WBC, low albumin, and DIC should be closely followed up for the development of AKI.