首页|眼镜蛇咬伤伤口部位与病情严重程度的相关性分析

眼镜蛇咬伤伤口部位与病情严重程度的相关性分析

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目的:分析眼镜蛇咬伤不同部位与病情严重程度的相关性,以期为眼镜蛇咬伤临床防治提供参考.方法:收集7家三甲医院2017-2021年间899例眼镜蛇咬伤住院患者的完整资料,分析一般情况,蛇咬伤月份及时段、咬伤部位、蛇咬伤严重程度、抗蛇毒血清使用情况等,并分析咬伤部位与病情严重程度的相关性.结果:899例眼镜蛇咬伤患者中,男777例(86.43%),女122例(13.57%);平均年龄(51.21±15.94)岁;每年4-9月份为高发期(736例,81.87%),每日12-18时为眼镜蛇咬伤事件的高频时段(413例,45.05%).轻、中、重度蛇咬伤患者分别为768例(85.43%)、123例(13.68%)、8例(0.89%);下肢咬伤(3.05%)较上肢咬伤(0.28%)更容易出现严重情况(P=0.005),不同肢体部位咬伤与病情严重程度相关(P=0.001 338,相关系数0.122).眼镜蛇下肢咬伤住院时间[(5.55±7.35)d]较上肢咬伤住院时间[(4.23±5.61)d]更长,差异有统计学意义(P=0.032).结论:眼镜蛇咬伤不同部位与患者病情严重程度有关,下肢咬伤可能更容易出现中重度病情.
Correlation between location and severity of cobra bite
Objective:To investigate whether the severity of cobra bite correlates with wound location,in or-der to provide reference for the clinical prevention and treatment of cobra bite.Methods:The study included pa-tients with cobra-bite who were admitted to seven tertiary hospitals between January 1,2017,and December 12,2021.Data collected were location of cobra bite,markers of severity and antivenom etc.The location of cobra bite was analyzed in correlation with severity.Results:We included 899 cobra bite patients including 777 males(86.43%)and 122 females(13.57%),age(51.21±15.94)years.It was the highest incidence of cobra-bite from April to September(736 cases,81.87%),12 to18 o'clock(413 cases,45.05%).Mild,moderate and severe pa-tients respectively were 768 cases(85.43%),123 cases(13.68%)and 8 cases(0.89%).Lower limb bites were more likely to be severe than upper limb bites(3.05%vs.0.28%,P=0.005),and different limb wound loca-tions of cobra bite were related to the severity of cobra bite(P=0.001 338,r=0.122).It resulted longer hospi-talization in patients of lower limb bites than upper limb bites,(5.55±7.35)days vs.(4.23±5.61)days,P=0.032.Conclusion:The different wound locations of cobra-bite correlated with the severity,the lower limb cobra bites more likely to develop moderate and severe.

cobra bitedifferent locationsseveritycorrelation

钟迎、冯基花、雷艳华、黄苏红、禤懿璇、玉佳宁、田秋萍、陈国强、黄浩、张剑锋

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广西医科大学第二附属医院急诊科(南宁,530007)

眼镜蛇咬伤 不同肢体部位 严重程度 相关性

广西壮族自治区卫生健康委重点(培育)实验室项目广西中医药局自筹经费科研课题

2PZH2020002GXZYZ20210440

2024

临床急诊杂志
华中科技大学同济医学院

临床急诊杂志

CSTPCD
影响因子:0.652
ISSN:1009-5918
年,卷(期):2024.25(3)
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