期刊文献+

丽水市558例毒蛇咬伤流行病学分析

Epidemiological analysis of 558 cases of venomous snakebites in Lishui
下载PDF
导出
摘要 目的分析浙江省丽水市我院2018—2020年住院的毒蛇咬伤就诊病例基本特征和流行病学特征,为临床诊疗、疾病防控及临床诊疗提供依据参考。方法采集浙江省丽水市中心医院2018—2020年558例毒蛇咬伤病例临床流行病学资料进行回顾性分析,包括毒蛇种类、患者性别与年龄、咬伤月份及具体时间、部位、局部症状及严重程度等。结果558例病例中,五步蛇194例(34.77%),竹叶青108例(19.35%),烙铁头53例(9.50%),眼镜蛇67例(12.01%),银环蛇11例(1.97%),不详120例(21.51%)。其中男、女性别比为2.47∶1;以农民为主,有433例,占77.60%;伤害高发年龄为51~70岁,占55.56%;受伤部位以四肢为主,重度蛇伤患者110例,其中五步蛇咬伤64例(58.18%),疾病负担相对更重。伤害时间以夏秋季节为主,占90.5%;经过规范救治后,所有患者中治愈出院500例(占89.60%),好转出院34例(占6.09%),致残24例(4.31%),死亡0例(0)。结论丽水市毒蛇咬伤高发于夏秋季节,以五步蛇为主,眼镜蛇和竹叶青次之;其中重度蛇伤患者多为五步蛇咬伤,蛇伤部位多见于四肢。 Objective To Aanalyze the epidemiological characteristics of snake bite cases admitted to Lishui Central Hospital in Lishui City,Zhejiang Province from 2018 to 2020,and provide a reference for clinical diagnosis,treatment,and disease prevention and control.Methods A retrospective analysis was conducted on the clinical epidemiological data of 558 cases of venomous snakebites admitted to Lishui Central Hospital,Lishui City,Zhejiang Province from 2018 to 2020,including snake species,patient gender and age,month and specific time of bites,patient’s bite location,local symptoms,and bite severity.Results Among the 558 cases,there were 194 cases of Deinagkistrodon acutus(34.77%),108 cases of Trimeresurus stejnegeri(19.35%),53 cases of Trimeresurus mucrosquamatus(9.50%),67 cases of Cobra(12.01%),11 cases of Bungarus multicinctus(1.97%),and 120 cases of unknown snakes(21.51%).The male-to female ratio was 2.47∶1.Most patients were farmers,there were 433 cases,accounting for 77.60%.Patients aged between 51-70 years old had the highest injury incidence,accounting for 55.56%.The injured parts were mainly limbs.There were 110 patients with severe snake injuries,including 64 cases(58.18%)of five-step snake bites,and the disease burden was relatively heavier.The injury incidence occurred mainly during the summer and autumn seasons,accounting for 90.5%.After standardized treatment,500 patients were healed and discharged(89.60%),34 patients showed improvement(6.09%),24 patients suffered disabilities(4.31%),and there were no deaths.Conclusion This retrospective analysis shows that venomous snakebites are more common in Lishui City during the summer and autumn seasons,with Deinagkistrodon acutus being the most common species,followed by the Cobra and Trimeresurus stejnegeri.Severe snakebites were predominantly caused by Deinagkistrodon acutus,and the limbs were mostly affected.
作者 赖林杰 谢璐涛 杜望 兰频 LAI Linjie;XIE Lutao;DU Wang;LAN Pin(Lishui Central Hospital,Lishui Zhejiang 323000,China)
出处 《中国急救复苏与灾害医学杂志》 2024年第3期391-394,共4页 China Journal of Emergency Resuscitation and Disaster Medicine
基金 丽水市自筹类公益性技术应用研究项目(编号:2022SJZC019) 浙江省医药卫生科技项目(编号:2021ZH016)。
关键词 毒蛇咬伤 流行病学 数据分析 规范化救治 Venomous snakebites Epidemiology Data analysis Standardized treatment
  • 相关文献

参考文献14

二级参考文献118

共引文献148

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部