摘要
目的探讨广西竹叶青蛇伤后的临床特征,为临床诊治提供较合理依据。方法选择被竹叶青蛇咬伤的急诊患者55例的临床资料并分析临床特征。结果 55例竹叶青蛇伤患者分别按咬伤地点与临床分型比较(χ2=18.03,P<0.01),竹叶青蛇属(竹叶青和白唇竹叶青)与临床分型比较(χ2=24.67,P<0.01)及咬伤地点与竹叶青蛇属比较(χ2=24.80,P<0.01),差异均有统计学意义,咬伤地点与竹叶青蛇属呈中度正相关(rs=0.67);竹叶青蛇咬伤按临床分型比较血液学变化有统计学意义(均P<0.01),其中血小板(PLT)、白细胞(WBC)各型比较均有统计学意义(P<0.05)。结论竹叶青蛇伤主要在城市花园草丛、田间地头等地点发生,伤后临床分型绝大多数为轻型,少数为重型和危重型;白唇竹叶青蛇伤地点主要在深山老林,伤后临床分型以危重型、重型为主,少数为轻型。咬伤地点与临床分型和蛇种属有很大差异性,可为临床诊治提供参考依据。竹叶青蛇伤致血液功能障碍,甚至出现类DIC;除分型标准外,患者WBC的增高程度可作为严重程度的参考指标。
Objective To investigate the Guangxi Trimeresurus stejnegeri after the clinical features of snakebite,in order to provide a more reasonable basis for clinical diagnosis and treatment.Methods Select 55 emergency patients have been bitten by Trimeresurus stejnegeri and analysis of with clinical features and treatment methods.Results Trimeresurus stejnegeri snakebite patients on the 55 cases according to locations are compared with clinical snakebite type（χ2=18.03,P0.01）,trimeresurus stejnegeri（Trimeresurus stejnegeri Schmidt and Trimeresurus albolabris）are compared with the clinical snakebite types（χ2=24.67,P0.01） and the snakebite locations compared with Trimeresurus stejnegeri（χ2=24.80,P0.01） all differences were statistically significant,the snakebite locations and Trimeresurus stejnegeri was moderately positive correlated（rs= 0.67）;Trimeresurus stejnegeri bitten by typing comparison of clinical hematology changes are statistically significant（both P0.01）,in which platelet（PLT）,white blood cell（WBC） comparison of various types were statistically significant（P0.05）;Conclusion Trimeresurus stejnegeri schmidt snakebite mainly in the urban garden,field to first-class place,the vast majority of clinical classification after injury for light,a small number of heavy-duty,and critical type,while Trimeresurus albolabris place mainly in the deep forests of snakebite after injury and clinical typing with critical type,heavy-based,a few for light,bite location and clinical type and snake species are very different,and these would provide a reference for clinical diagnosis and treatment;Trimeresurus stejnegeri snakebite-induced dysfunction of blood,and even class DIC;in addition to classification standards,patient WBC increased serum levels of severity can be used as a reference indicator.
出处
《蛇志》
2010年第3期203-205,共3页
Journal of Snake
基金
广西医科大学校级项目(No.303243)
关键词
竹叶青蛇
蛇伤
临床特征
Trimeresurus stejnegeri
snakebite
Clinical features
