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目的:分析院前程序化急救方案在毒蛇咬伤治疗中的应用,寻求有效的毒蛇咬伤救治方案。方法:回顾性分析2009年6月-2013年4月绍兴县中心医院救治的64例毒蛇咬伤患者的临床资料,患者均采用院前程序化治疗方案进行救治,探讨其应用效果。结果:经程序化急救治疗后,64例患者痊愈出院59例,3例病情好转,有效率96.88%,另外2例因被咬到治疗时间过长导致心衰死亡,其中1例为眼镜王蛇咬伤,1例为五步蝰蛇咬伤。结论:毒蛇咬伤早期准确的预测病情,尽早实施院前程序化救治方案能够有效地提高患者抢救成功率,值得推广应用。
OBJECTIVE: To analyze the application of pre-hospital programmed first-aid programs in the treatment of snake bites and seek effective snakebite treatment programs. Methods: The clinical data of 64 cases of snakebite patients who were treated in Shaoxing Central Hospital from June 2009 to April 2013 were retrospectively analyzed. All the patients were treated with pre-hospital programmed treatment and their effects were discussed. Results: After programmed emergency treatment, 64 patients were cured and discharged 59 cases, 3 patients improved, the effective rate was 96.88%, while the other 2 patients were bitten to the treatment time lead to heart failure, including 1 king cobra Bite, a case of five-step viper snake bites. Conclusion: It is worthy to popularize and apply the premedicated program of salvage snake bites to predict the condition accurately and early, which can effectively improve the salvage success rate of patients.