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[成年和幼年巴西矛头蝮蛇咬伤事故的流行病学及临床表现]

[Epidemiology and clinical picture of accidents by adult and young snakes Bothrops jararaca].

作者信息

Ribeiro L A, Jorge M T

机构信息

Médica do Hospital Vital Brazil, Instituto Butantan, São Paulo.

出版信息

Rev Inst Med Trop Sao Paulo. 1990 Nov-Dec;32(6):436-42.

PMID:2135490
Abstract

Four hundred and fifteen cases of bites by adult Bothrops jararaca (group A) were admitted to the Hospital Vital Brasil between 1981 and 1987. These cases were compared to 562 cases of bites by young snakes of the same species (group B) during the same period and at the same hospital. In group B blood incoagulability was more frequent when compared to group A. However in group A bites in the leg, use of tourniquet, tecidual damage (blister, necroses and abscess), were more frequent when compared to group B. The doses of sero given for the group A was greater when compared to group B. Accidents month distribution, dates available were for the patients admitted between 1975 and 1988. The accidents were more frequent in the first and at the end of the year. In the first months of the year for the young snakes and mainly at the end of the year for the adult snakes.

摘要

1981年至1987年期间,有415例被成年巴西矛头蝮蛇咬伤的病例(A组)住进了巴西维塔尔医院。同期在同一家医院,将这些病例与562例被同种类幼蛇咬伤的病例(B组)进行了比较。与A组相比,B组血液无法凝固的情况更为常见。然而,与B组相比,A组腿部被咬、使用止血带、组织损伤(水泡、坏死和脓肿)的情况更为常见。A组接受的抗蛇毒血清剂量比B组更大。事故发生月份分布的数据来自1975年至1988年期间入院的患者。事故在年初和年末更为频繁。年初主要是幼蛇咬伤事故,年末主要是成年蛇咬伤事故。

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