毒蛇咬伤94例救治体会

1999年1月-2004年8月,我们共救治毒蛇咬伤94例,疗效满意。现报告如下。     

滇南地区毒蛇咬伤的救治体会

目的 总结滇南地区毒蛇咬伤的救治经验.方法 对38例毒蛇咬伤患者,采取局部切开排毒,伤口周围行环形封闭注射,季德胜蛇药片外敷和内服,并给予激素及抗炎等支持治疗.结果 38例全部治愈,疗程最短3 d,最长22 d.结论 综合治疗方法救治效果满意,可供借鉴.     

驻黎维和二级医院救治毒蛇咬伤1例护理体会

全球每年有500万以上的蛇咬伤患者,有记载的年死亡人数约5万,截肢者约40万〔1〕。毒蛇咬伤后毒素吸收迅速,病情发展快,患者中毒症状严重,易并发呼吸衰竭、急性肾功能不全、DIC及多脏器功能衰竭,病死率及致残率均较高〔2〕。黎巴嫩属热带地中海型气侯,南部多为谷地,灌木丛生,爬行类动物繁多,屡有毒蛇咬伤致残致死的报道。我院在黎巴嫩执行维和任务期间,成功救治1例巴勒斯坦蝰蛇咬伤患者,笔者结合救治过程,对护理工作进行总结,并进一步探讨毒蛇咬伤患者救治的整体临床护理思路。     

毒蛇咬伤9例救治体会

毒蛇咬伤以南方多见 ,近年来 ,由于生态环境的好转 ,北方毒蛇咬伤的病例逐渐增多。今年 6月以来 ,我科共救治毒蛇咬伤 9例 ,报告如下 :1　临床资料1.1　一般情况 :本组 9例 ,男 3例 ,女 6例 ,男女之比 1∶2。年龄 4～ 70岁 ,平均 2 8.6岁。咬伤部位 :手 3例 ,前臂 2例 ,足 4例。就诊时间 :2ｈ内 2例 ,2～ 4ｈ 3例 ,4～ 8ｈ 4例。临床表现 :患肢均可见两个针尖大小牙痕 ,局部肿胀、疼痛 ,肿胀迅速向患肢近端扩展。 3例出现恶心、呕吐、头晕、嗜睡等全身症状。1.2　治疗 :尽快以牙痕为中心 ,“ +”形切开伤口 ,用 3%过氧化氢溶液、盐水冲洗伤…     

毒蛇咬伤256例救治体会

1972年始,我们经过反复动物实验和临床验证,在毒蛇咬伤部位环状注射胰蛋白酶和(或)糜蛋白酶等药物治疗256例,疗效显著,并研制成能随身携带的急救药盒,在基层医疗单位推广使用。1　临床资料1.1　一般情况　256例中,男197例,女59例;年龄10～62岁,平均24岁。眼镜蛇咬伤77例,扁颈蛇22例,银环蛇40例,金环蛇5例,尖吻腹蛇8例,蝮蛇27例,竹叶青蛇67例,烙铁头蛇10例。局部表现红、肿、疼痛及全身中毒症状。毒蛇咬伤后2h救治216例,2～12h救治40例。1.2　治疗方法　1.2.1　急救药盒组方　用胰蛋白酶、糜蛋白酶(上海生物化学制药厂生产)和云南蛇伤药液、…     

舰船码头官兵毒蛇咬伤的救治体会

毒蛇在南方山林、草地比较常见，驻守在南方的官兵在训练、工作中易被毒蛇咬伤。毒蛇咬伤具有突发性，病情进展快，并发症、致残率及死亡率都较高。我科在2005年7～8月先后救治3例在码头工作中被毒蛇咬伤的患者，经治疗痊愈出院。现报告如下。     

毒蛇咬伤的护理体会

我院位于云南红河州,此地多山,多丛林,毒蛇咬伤病例每年都有.此病来势凶猛,如果救治不及时,会出现严重后果.所以对毒蛇咬伤患者来说,立即争分夺秒进行抢救和良好的护理,是减少死亡率、提高治愈率的重要环节.,现将我院近两年来救治毒蛇咬伤的护理体会报告如下.     

边疆医院142例毒蛇咬伤的救治体会

目的 探讨毒蛇咬伤患者的临床急救及护理。方法 对我院2013年9月~2014年9月收治的142例毒蛇咬伤患者的救治方法及护理措施进行总结分析。结果 本组142例中,痊愈出院139例,死亡3例,成功率97.9%。结论 迅速就诊并早期诊断,给患者尽早运用抗蛇毒血清,是治疗毒蛇咬伤成功的关键。     

重庆地区1167例毒蛇咬伤的流行病学调查

目的 调查重庆地区毒蛇咬伤的流行病学特点,以优化防治策略.方法 回顾性分析2019年1月—2020年12月重庆市急救医疗中心收治的毒蛇咬伤患者1167例,对蛇咬伤种类、患者年龄、性别、受伤时节、受伤部位、受伤至就诊的间隔时间、严重程度、治疗转归等信息进行归纳分析.结果 重庆地区主要致伤蛇种为"烙铁头"蛇,患者主要群体是...     

重症银环蛇咬伤的临床救治

总结34例重症银环蛇咬伤的综合救治经验。即使在无抗蛇毒血清条件下,及时、有效的人工通气加之综合治疗,也可有效完成重症银环蛇咬伤的救治。     

Management of a snake bite in the field

We present a case of an 18-year-old British soldier who was bitten by an unidentified snake whilst stationed on the Iran/Iraq border. He was evacuated to the closest Role 2+ medical facility. Within 2 days he had developed bruising and a haematoma at the bite site. An improvised measure of clotting status, the bleeding time, was employed, showing that his blood was severely anticoagulated. He was transferred to the Field Hospital where coagulation screen revealed a DIC picture. He required 5 units of cryoprecipitate and 2 doses of antivenom. This case report demonstrates the need for prompt evacuation to a Role 3 facility in such cases, whether symptomatic or not.     

Medico-legal significance of the identification of offending snake in a fatal snake bite: A case report

A 19 year old male was admitted to a tertiary care centre in Sri Lanka, with a history of snake bite while sleeping at night. A killed specimen of a snake was brought with the patient. It had been identified as a non-venomous snake by the doctor and handed over to relatives, with a comment to that effect. Patient had no clinical or laboratory evidence of envenoming on admission.Patient developed bilateral ptosis six hours after alleged snake bite, soon followed by respiratory paralysis and was treated with Indian polyvalent anti-venom serum. After 12 h of the bite, patient had developed hypotension that did not respond to ionotropes. Despite intensive management, patient had become deeply comatose and deceased 46 h following the snake bite. Autopsy revealed features suggestive of disseminated intravascular coagulation.Since an allegation of medical negligence too had been levelled by the relations of the patient against the clinical staff, the buried specimen of the snake was recovered by police, on a judicial order, a week later. It was found to be almost completely disintegrated and only the scales and bones were remaining. According to the scale characters, the reconstructed specimen was identified as Indian krait (Bungarus caeruleus).Authentication of snake is important in investigating a death due to snake bite, especially when the snake was initially claimed to be a non-venomous snake. This case suggests the usefulness of forensic identification of species of the snake in investigating suspected snake bite cases.     

Homicide by direct snake bite: a case of contract killing

It has been estimated that five million snake bite cases occur worldwide every year, causing about 100,000 deaths. Snake bite is exclusively accidental in nature. Suicide by snake bite is very rare and homicidal snake bite is not reported. In the present case, a contract killer was hired, who used a poisonous snake to kill an elderly couple by way of direct snake bite. We believe this to be the first case reported where a snake was directly used for the murder of two victims through a contract killer.     

A profile of fatal snake bite cases in the Bankura district of West Bengal

Deaths due to snake envenomation are considered as a public health problem in rural India. The scenario is no different in Bankura district of West Bengal. 86 cases of deaths due to snake bites were recorded during a three year period from January 2006 to December 2008. Nearly 60% of the victims were in the age group of 21-40 years and males comprised 60.47% of the cases. Majority of the incidences occurred during the monsoons and during day time. The present study also highlights the sociological impact and suggests certain preventive measures to reduce snake bite mortality.