钩端半蝎鱼(Gadim)包膜的流行病学和临床研究,重点关注临床表现、预后因素和预后

Bahare Hedayat, A. Rahmani, M. Matinrad, Pedram Nazari
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引用次数: 2

摘要

背景:在伊朗的热带地区,尤其是胡齐斯坦省,猪角锥虫中毒是最重要的医学问题之一。由于胡齐斯坦省缺乏可靠的蝎子蜇伤资料,本文对半角蝎蜇伤的临床表现、预后因素、并发症及死亡率进行了调查。方法:本研究是2011-2013年在伊朗Karoon Sina医院进行的横断面研究。从这一时期所有入院的中毒受害者的医疗记录中收集了必要的数据,如人口数据、并发症和结果,然后在适当的核对表中登记。数据分析使用SPSS version 16。结果:共对311名患者进行了研究。蜇伤发生率最高的年龄段为15 ~ 24岁。刺痛的大部分区域在下肢。42名患者延误24小时以上才转诊到急诊室。受害者最常见的最初症状是刺痛部位的疼痛。血尿、血红蛋白尿、凝血功能障碍等并发症在患者中发生率最高。死亡6例。结论:延迟转诊、存在血红蛋白尿、凝血功能障碍及肾功能衰竭与患者预后不良有关。似乎有延迟和血尿等症状的患者需要更多的医疗保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Epidemiologic and Clinical Study on Hemiscorpius Lepturus (Gadim) Envenomation with Focus on Clinical Manifestations, Prognosis Factors, and Outcomes
Background: Hemiscorpius lepturus envenomation is one of the most important medical issues in tropical regions of Iran, especially Khuzestan Province. Due to lack of reliable data about scorpion sting in Khuzestan Province, this investigation was performed to study the clinical presentation, prognosis factors, complications and mortality rates of Hemiscorpius lepturus sting. Methods: this study was a cross-sectional study performed at Sina Hospital, Karoon, Iran during 2011-2013. Required data such as demographic data, complications and outcomes were collected from medical records of all admitted victims of envenomation in this period and then were registered in a propriate checklist. Data were analyzed using SPSS version 16. Results: a total of 311 victims were studied. The highest frequency of sting was in the age range of 15-24 years. Most areas of the sting were the lower extremity. Forty-two patients delayed more than 24 hours to refer to the emergency room. The most common initial symptom in victims was pain in the sting location. Complications such as hematuria, hemoglobinuria, and coagulation disorders were most morbidity occurred in patients. 6 cases died. Conclusion: delay in referring to the hospital, the existence of hemoglobinuria, coagulation disorders and kidney failure were associated with poor prognosis in patients. It seems that patients who refer with delays and with symptoms such as hematuria, need for more medical health care.
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来源期刊
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审稿时长
12 weeks
期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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