Tan K K, Choo K E, Ariffin W A
Department of Paediatrics, Hospital Universiti Sains Malaysia, School of Medical Sciences, Kelantan.
Toxicon. 1990;28(2):225-30. doi: 10.1016/0041-0101(90)90416-5.
The records associated with 83 children from 16 months to 12 years of age who were admitted with snake bite to Kota Bharu General Hospital and University Hospital, Universiti Sains Malaysia over a 5 year period were reviewed. Elapid bites were more common than viper bites while sea-snake bites were not recorded. Symptoms were relatively mild, the common clinical features being pain and local swelling. Antivenom therapy was required in 11 children. Only three of the 11 children developed minor adverse reactions to antivenom. Four of the 83 required ventilatory support for respiratory failure and two children died.
对马来西亚理科大学哥打巴鲁总医院和大学医院5年间收治的83名16个月至12岁蛇咬伤儿童的记录进行了回顾。眼镜蛇科咬伤比蝰蛇咬伤更常见,未记录到海蛇咬伤。症状相对较轻,常见临床特征为疼痛和局部肿胀。11名儿童需要抗蛇毒血清治疗。11名儿童中只有3名出现了抗蛇毒血清的轻微不良反应。83名儿童中有4名因呼吸衰竭需要通气支持,2名儿童死亡。