蛇毒血清联合地塞米松与普鲁卡因治疗毒蛇咬伤的急救护理

Nursing in the emergency treatment of the patient with snakebite by antiophidic serum combined with DXM and procaine

目的:提高毒蛇咬伤的治愈率,减少或避免并发症特别是致残后遗症的发生。方法:根据不同种类毒蛇的咬伤,选用相对应的蛇毒血清皮试,阴性后直接静脉注射,同时静脉滴注地塞米松20～30mg/d,给予普鲁卡因0.25～0.5%10～30ml于受伤肢体肿胀或麻木部位近心端做环状封闭。结果:用此法治疗的疗程短,治愈率高,且无后遗症。结论:此法疗效确切,使蛇咬伤患者能得到及时有效的治疗。

Objective ： To raise the curative rate of snakebite in order to avoid and reduce the complication and disability. Methods： Antiophidic serum was given by intravenous injection according to the skin test with certain venin serum, at the same time given intravenous drip of dexamethasone 20-30mg/d and procaine 10-30ml （0.25-0.5%） by circle block therapy near the area of swelling and numbness of snakebite. Results ： The therapy had advantages of short treatment course and high curative rate without complication. Conclusion： The therapeutic effectiveness is definitive and the treatment is applicable to the emergency case of snakebite.