毒蛇咬伤致重度中毒30例疗效观察

目的:探讨毒蛇咬伤致重度中毒治疗的临床疗效。方法:2009～2010年收治毒蛇咬伤导致的重度中毒患者58例,随机分两组,治疗组30例和对照组28例,治疗组采取血液透析治疗,对照组采取常规治疗,对比两组患者的治疗效果。结果:两组患者临床疗效比较,治疗组治愈28例,治愈率93.3%,死亡1例,放弃1例,对照组治愈5例,治愈率17.9%,死亡16例,放弃7例,治疗组治愈率显著优于对照组,P<0.05具有统计学意义。结论:血液透析治疗毒蛇咬伤所致的重度中毒患者具有疗效确切,不良反应小,治愈率高的特点,值得临床推广应用。

Objective：To study curative effect of severe poisoning by thanatophidia bite. Methods： 58 severe poisoning patients by thanatophidia bite from January of 2009 to December of 2010 were divided into therapy group（ n = 30 ） and control group （ n = 28 ）. Haemodialysis was administrated in the therapy group,while conventional therapy in control group. Prognosis was compared between two groups. Results： Recovery rate was higher in therapy group than in control group （ 93.3% vsl7.9%, P 〈 0. 05 ）. One case was died and one case abandoned treatment in therapy group. 16 case was died and 7 case abandoned treatment in control group. Conclusion ： Being effective, with little side effect and higher recovery rate, haemodialysis severe poisoning patients by thanatophidia bite should be applied generally.