蛇咬伤:向埃塞俄比亚西北部贡达尔大学医院提交的病例系列。

Q3 Medicine
Ethiopian Medical Journal Pub Date : 2016-04-01
Desalew Mekonnen, Tadesse Mitiku, Yenesew Tamir, Aklilu Azazh
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引用次数: 0

摘要

蛇咬伤是一项重要的公共卫生挑战。如果治疗措施,特别是抗蛇毒血清治疗延迟,毒蛇咬伤会导致显著的发病率和死亡率。我们对2013年9月至2014年8月在贡达尔大学医院(GUH)病房接受蛇咬伤治疗的27例成人患者进行了病例系列分析。年龄范围从15岁到74岁。男女比例为8:1。大多数(25)患者在被咬12小时后出现。大多数咬伤发生在腿上。血液学并发症是常见的并发症,包括床边全血凝血试验延长、出血并发症和弥散性血管内凝血。病死率为4/27(14.8%)。建议提供价格合理的蛇专用抗蛇毒血清。要解决埃塞俄比亚的这一负担,需要进行大规模的人口研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SNAKE BITE: CASE SERIES OF PATIENTS PRESENTED TO GONDAR UNIVERSITY HOSPITAL, NORTH WEST ETHIOPIA.

Snakebite is an important public health challenge. Venomous snake bites cause significant morbidity and mortality if treatment measures, especially antivenom therapy, are delayed. We did a case series of 27 adult patients admitted after snakebite to the medical wards of Gondar University Hospital (GUH) from September 2013 to August 2014. The age range was from 15 to 74 years. The male to female ratio was 8:1. The majority (25) of patients presented after 12 hours of being bitten. Most of the bites occurred on the legs. Hematologic complications, including prolonged bedside whole blood clotting test, bleeding complications and Disseminated Intravascular Coagulation, were the common complications detected. The case fatality rate was 4/27 (14.8%). Availability of affordable snake specific antivenom is recommended. A large population study is needed to address the burden in Ethiopia.

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来源期刊
Ethiopian Medical Journal
Ethiopian Medical Journal Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
0
期刊介绍: The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.
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