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广西部分地区1990年蛇伤399例流行病学研究 被引量:10

AN EPIDEMIOLOGICAL STUDY OF 399 CASES OF SNAKEBITES IN PARTIAL DISTRICTS OF GTUANGXI IN 1990
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摘要 为摸清广西1990年蛇伤发病情况,对广西东南西北中的罗城、三江等13个县市一些乡的部分地区进行了初步调查。调查总人口约35万人,蛇伤数399人,平均发病率为千分之1.14其中男性297人,占74.4%,女性102人,占25.6%。死亡12人,死亡率3%。致伤蛇种按发生率的高低依次为眼镜蛇(26.3%),竹叶青(17.8%),烙铁头(13.3%),蝰蛇(8.3%),银环蛇(7.8%),五步蛇(4.5%),金环蛇(1.5%),海蛇(1.5%),眼镜王蛇(0.8%),以及白头蝰(0.8%).在12例死亡病例中,银环蛇致死者占将近一半。广西全年均有蛇伤发生,但以5、6、7、8月为高峰。由于受伤者绝大多数为农民(80.7%),因此蛇伤的发生地点多在田里、山上和山间小路上(共占47.9%),其次为蛇入家中或捕蛇时被吱(分别占11.5%和9.5%). In order to know the real status of snakebites in Guangxi in 1990,a preliminary inves- tigation was made on the partial districts east,west,south,north and middle of Guangxi.Three hundred and fifty thousands people were investigated and 399 eases were recorded.In these cases, bites in males were more than two times as frequent as those in females (M:F=297:102=2.9:1) Twelve fatal eases were found with a mortality rate of 3%.The species of snakes responsible for the bites were Naja naja atra (26.3% ),Trimeresurus stejuegeri (17.85% ),Trimeresurus muerosquamatus (5.3%),Vipera russelli (8.3%),Bungarus multicinctus (7.8%), Agkistrodon acutus (4.5%),Buugarus fasciatus (1.5%),sea snake (1.5%),Ophiophagus hannah (0.8%),and Azemiops feae (0.8%),and that responsible for death were Naja naja atra,Ophiophagus hannah,Bungarus multicinctus,-and Agkistrodon acutus.Most bites occur- red from May to August,but even during the cold season (from December to February),some bite cases still can be found.Nearly half of the bites (46.4%) occurred between the age of twenty and thirty-nlne.The most cases of bites were peasants (80.7%),indicating that how to prevent and treat the snakebites in rural area is a very important problem.
出处 《蛇志》 1991年第2期4-8,共5页 Journal of Snake
关键词 蛇伤 流行病学
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