论文部分内容阅读
目的:总结毒蛇咬伤的急诊处理方法,进一步提高毒蛇咬伤患者的抢救与治疗水平。方法:分析2009-2010年,我科收治的各类毒蛇咬伤患者109例的临床资料。结果:神经毒类毒蛇咬伤患者4例,血液毒类毒蛇咬伤患者5例,混合类毒蛇咬伤患者85例,不明毒蛇咬伤患者15例。经采用局部伤口常规处理,静滴并局部封闭注射抗蛇毒血清,重症患者及早进行CRRT防治MODS等方法治疗。痊愈105例(96.3%),放弃治疗4例(3.7%)。结论:毒蛇咬伤应予早期伤口处理、应用抗蛇毒血清、抗感染、重症患者及早进行CRRT防治MODS,就诊时间的早晚、急救时的伤口处理是否及时得当与病情预后有密切关系。
Objective: To summarize the emergency treatment of poisonous snake bites and to further improve the rescue and treatment of patients with poisonous snake bites. Methods: The clinical data of 109 cases of various snakebite patients admitted in our department from 2009 to 2010 were analyzed. Results: There were 4 cases of neurotoxic snake bites, 5 cases of blood poisonous snake bites, 85 cases of mixed poisonous snake bites and 15 cases of unknown snake bites. Routine treatment with local wounds, intravenous drip and local injection of anti-snake venom serum, critically ill patients as early as the prevention and treatment of CRRT MODS and other methods. 105 cases were cured (96.3%) and 4 cases were given up (3.7%). Conclusion: The snake bites should be treated with early wounds. Anti-snake venom serum, anti-infection, and severe patients should be treated with CRRT as early as possible to prevent and treat MODS. The time of treatment, the timely treatment of wounds in first aid are closely related to the prognosis.