急诊毒虫叮咬伤的临床特点及救治分析

目的总结毒虫叮咬伤的种类、临床特点和治疗效果。方法对1997年4月—2007年10月急诊处理的3250例毒虫叮咬伤患者的临床资料和中西医治疗效果进行总结分析。结果毒虫叮咬伤主要包括蝎子伤(33·4%)和毒蚊伤(28·9%)等;受伤部位主要为四肢(71·4%)和头面部(14·0%);主要症状有局部反应、全身症状和严重并发症。叮咬后在急诊根据其分类进行中西医结合处理,均预后良好,但对过敏体质者要留观处理。结论根据毒虫叮咬伤的受伤种类和相应症状采用中西医结合疗法进行处理效果好,适用于各基层单位。

Clinical Research of Emergency Dispose of Insect Sting

Objective To analyze and summarize the clinical data and wound characteristic of emergency dispose of comman instect sting.Methods To classify and dispose of 3 250 cases of instect sting in emergency room from 1997 to 2007.According to wound characteristic,we draw the basic principle for emergency treatment.Results Insect sting include scorpion(33.4%)and mosquito(28.9%).Wound place included limbs(71.4%)and head and face(14.0%).Cardinal symptom included local reaction,general symtom and severe complication.After combination of TCM with western medicine treatment based on emergency classification for instect sting cases,most of them were eusemia.But physical hypersensitiveness needed to be stayed and observed until they are stfe.Conclusion Emergency treatment with combination of TCM with western medicine for instevt sting is effective and refer to primary hospitals.