摘要
目的分析北京及周边地区毒蛇咬伤的发病情况,用于指导对毒蛇伤害的预防和治疗。方法回顾近两年我院收治的毒蛇咬伤病例270例,对资料完整的106例留观患者进行总结。结果北京及周边地区毒蛇咬伤有其特有的流行病学特点。北京地区蛇咬伤多发生在北部山区;北京周边地区如承德、张家口和内蒙古等多山地区蛇咬伤高发;蝮蛇咬伤病例占多数,偶有五步蛇、竹叶青蛇等;蛇伤集中发生于5～9月,占93.4%(99/106),其他时间有散发病例;伤者以40～59岁人群为主;危重型占全部伤者的1.9%(5/270)。结论北京及周边地区毒蛇咬伤有季节性、区域性等流行病学特点。有针对性地进行预防和治疗可以降低其危害性。建立一个或若干个蛇伤救治中心作为技术核心可以向周围展开地区性防治网络。
Objective To analyze the epidemiological feature of the poisonous snake bite around Beijing area. Method In our hospital, 270 cases were treated in recent two years. 106 cases had relatively complete records and were reviewed. Result There were more snake bite cases in northern mountain area of Beijing and about Beijing. Most of the snakes involved in this study were Agkistrodon halys. Snake bite occurred mainly in May to September and the patients were mostly 40 - 59 years old. 5 critical patients of snake bite accounted for 1.9% （ 5/270 ）. Conclusion According to the above - mentioned epidemiological characteristics, one or more snakebite remedy centres are necessary for the prevention and cure of snake bite at local region.
出处
《中国急救医学》
CAS
CSCD
北大核心
2008年第12期1139-1141,共3页
Chinese Journal of Critical Care Medicine
关键词
毒蛇
咬伤
流行病学
北京季节性
区域性
Poisonous snake
Bite
Epidemiological investigation
Beijing area
Seasonal
Regional
