摘要
目的:了解湖北地区毒蛇咬伤流行病学特征及蛇伤患者出院后恢复情况,为本地区的蛇伤救治策略提供依据。方法:统计我院2017—2021年收治的2178例毒蛇咬伤患者的临床资料,回顾性分析年就诊量、性别年龄、地区分布、就诊时间、受伤时间、蛇种分布、费别费用、抗蛇毒血清剂量及住院相关指标统计,并电话随访573例出院患者,统计指标包括是否再次就医、复查检验指标、伤口愈合时间、肢体消肿时间及并发症。结果:湖北地区及周边蛇伤事件主要发生在4—10月份,最常见的为蝮蛇咬伤,其次为不明毒蛇类咬伤;昂贵的抗蛇毒血清费用是就诊费用高的主要原因,这对蛇伤患者造成了沉重的经济压力。出院后常见的并发症有血清病(12.04%)、伤口不愈合(8.20%)和肢体疼痛(9.25%)。结论:了解本地区的毒蛇伤流行病学特点及蛇伤患者出院后恢复情况,能够制定符合本地区的蛇伤救治策略。
Objective: To investigate the epidemiological characteristics of snakebites in Hubei province and the recovery of snake patients after discharge, so as to provide basis for the treatment strategy of snakebite in this area. Methods: The clinical data of 2178 snakebites in our hospital from 2017 to 2021 were recruited. Annual visits, sex and age, regional distribution, visit time, injury time, snake species distribution, fees and antivenom dosage were retrospectively analyzed. 573 discharged patients were followed by telephone. Statistical indicators included whether to seek medical treatment again, reexamination of blood tests, wound healing time, limb swelling reduction time and complications. Results: Snakebites in Hubei and its surrounding areas mainly occurred from April to October, pit viper was the cause of most common snakebites, and the second was unknown poisonous snake;The high cost of antivenom, which has caused great economic pressure on patients, was the main reason for the expenses of medical treatments. The common complications after discharge were serum disease(12.04%), wound nonhealing(8.2%) and limb pain(9.25%). Conclusion: To investigate the epidemiological characteristics of ophidic accidents and the recovery of snake venomoning after discharge in this area, we can formulate the treatment strategy of snakbites.
作者
李稳
方庆
李兴华
郭厚才
周权
唐忠志
LI Wen;FANG Qing;LI Xinghua;GUO Houcai;ZHOU Quan;TANG Zhongzhi(Department of Emergency,General Hospital of Central Theater Command,Wuhan,430070,China)
出处
《临床急诊杂志》
CAS
2023年第3期131-136,共6页
Journal of Clinical Emergency
关键词
毒蛇咬伤
蛇伤事件
流行病学
随访
snakebites
ophidic accidents
epidemiology
follow-up
作者简介
通信作者:唐忠志,E-mail:jzktzz_wh2014@163.com。
