毒蛇咬伤患者院前早期程序化急救护理方案的实施效果

Application effect of early programmed emergency care plan in patients with venomous snake bite

目的 对毒蛇咬伤患者院前早期程序化治疗进行回顾,为临床合理早期急救方案提供参考.方法 应用回顾性分析,采用整群抽样法选取2010年3月—2015年3月杭州市中医院收治的毒蛇咬伤患者56例,入选患者均经过早期程序化急救护理,观察患者的治疗结局.结果 56例毒蛇咬伤患者中有51例顺利出院,3例患者经治疗后病情有所缓和,另2例死亡,其中1例为竹叶青蛇咬伤,1例为五步蛇咬伤.结论 在毒蛇咬伤后及时采取院前早期程序化急救护理措施,对入院后抢救有着重大意义,临床中值得推广.

Objective To retrospect the early programmed emergency care plan for patients with venomous snake bite,and provide evidence and experience for early emergency treatment in clinic. Methods Based on retrospective analysis,56 patients with venomous snake bite were collected from Hangzhou Traditional Chinese Medicine Hospital during March 2010 to March 2015 by using cluster sampling. The eligible participants should be treated by early programmed emergency care plan.Results Among all participants：51 patients were discharged from the hospital;three patients got better;two cases were died （i.e. one was bitten by Trimeresurus stejnegeri,and one was bitten by Agkistrodon acutus）.Conclusions The early programmed emergency care plan for patients with venomous snake bite is beneficial and recommendable,and it is worth of promoting in clinical treatment.