116例福建厦门地区毒蛇咬伤的临床特征及急诊救治分析

Clinical Characteristics and Emergency Treatment Analysis of 116 Cases of Venom⁃ous Snake Bites in Xiamen of Fujian Province

目的:分析116例福建厦门地区毒蛇咬伤的临床特征及急诊救治。方法:选取2020年2月-2023年6月本院收治的116例毒蛇咬伤患者,根据毒蛇类型将患者分为竹叶青组(95例),眼镜蛇组(13例),蝮蛇组(8例)。比较不同毒蛇咬伤临床特征、救治方法及疗效。结果:竹叶青组严重肿胀、局部肿痛、多器官功能障碍综合征的情况多于眼镜蛇组和蝮蛇组,伤口感染发生率高于眼镜蛇组和蝮蛇组(P<0.05)。竹叶青组中重度型患者所占比例多于眼镜蛇组和蝮蛇组(P<0.05)。采用抗蛇毒血清治疗后,眼镜蛇组治愈11例(84.62%)、蝮蛇组治愈8例(100%)高于竹叶青组治愈53例(55.76%)(P<0.05)。结果:福建厦门地区毒蛇咬伤患者中以竹叶青咬伤占比最高,且病情最严重,采用抗蛇毒血清治疗效果较好,需要对患者做好早期的急救、有效的治疗至关重要,同时还要做好蛇咬.

Objective:To analyze the clinical characteristics and emergency treatment of 116 cases of venomous snake bites in Xiamen,Fujian.Methods:116 patients with venomous snake bites admitted to our hospital from Febru-ary 2020 to June 2023 were selected and divided into the Zhuyeqing group(95 cases),the Cobra group(13 cases),and the Viper group(8 cases)based on the type of venomous snake.The clinical characteristics,treatment methods,and therapeutic effects of different venomous snake bites were compared.Results:The Zhuyeqing group had more severe swelling,local swelling and pain,and multiple organ dysfunction syndrome than the Cobra and Viper groups.The inci-dence of wound infection was higher than that of the Cobra and Viper groups,and the difference was statistically signifi-cant(P<0.05).The proportion of severe type patients in the group was higher than that in the Cobra and Viper groups,and the difference was statistically significant(P<0.05).After treatment with anti venom serum,11 cases(84.62%)were cured in the Cobra group The cure rate of 8 cases(100%)in the pit viper group was higher than that of 53 cases(55.76%)in the bamboo leaf green group,and the difference was statistically significant(P<0.05).Conclusion:Among the patients with venomous snake bites in Xiamen,Fujian,the proportion of bamboo leaf green bites is the high-est,and the condition is the most severe.The use of anti snake venom serum treatment has a better effect,and early emergency treatment and effective treatment are crucial for patients.At the same time,it is also necessary to promote the prevention and treatment of snake bites.