摘要
目的探讨烙铁头蛇咬伤后迟发性出血的临床特点及治疗方法。方法对我院11例烙铁头蛇咬伤后出现迟发性出血的患者进行回顾性分析,总结其临床特点及治疗方法,并分析其病因。结果迟发性出血通常发生在烙铁头蛇咬伤后的第5～6天,发病率约16.42%;11例患者均出现伤口流血不止、皮下淤斑、牙龈出血及鼻衄,其中1例伴有便血及血尿,同时凝血酶原时间、活化部分凝血活酶时间及凝血酶时间均显著延长。经及时给予抗蛇毒血清、补充血容量等治疗,11例患者均痊愈。结论烙铁头蛇咬伤后迟发性出血并不少见,及早发现、积极处理是治愈的保证。
Objective To investigate clinical characteristic and therapy of delayed hemorrhage following Trime- resurus mucrosquamatus bite. Methods 11 cases with delayed hemorrhage after Trimeresurus rnucrosquamatus bite were studied retrospectively. Clinical features and therapy methods were summarized and the etiological factors were analyzed. Results Delayed hemorrhage happens on the fifth or sixth day following Trirneresurus mucros- quarnatus bite and the incidence rate is approximately 16.42%. Bleeding in the wound, petechia, oulorrhagia and hemorrhinia occurred in all cases with hemafecia and cruenturesis in one case. Meanwhile, prothrombin time, activa- ted partial thromboplastin time and thrombin time were significantly prolonged. All the 11 patients fully recovered after the antivenomous serum and blood volume supplement were promptly administered. Conclusion Delayed hemorrhage following Trimeresurus mucrosquamatus bite is not uncommon. To discover and treat it as soon as pos- sible guarantees the full recovery.
出处
《蛇志》
2012年第3期254-255,257,共3页
Journal of Snake
关键词
烙铁头蛇咬伤
迟发性出血
凝血功能障碍
Trimeresurus mucrosquamatus bite
Delayed hemorrhage
Coagulation disorders
