Schulte Joann, Kleinschmidt Kurt C, Domanski Kristina, Smith Eric Anthony, Haynes Ashley, Roth Brett
From the North Texas Poison Control Center, Parkland Health and Hospital System, Dallas, and the Division of Medical Toxicology, Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas.
South Med J. 2018 Feb;111(2):113-117. doi: 10.14423/SMJ.0000000000000760.
Published reports have suggested that the concurrent use of alcohol or drugs occurs among some snakebite victims, but no national assessment of such data exists.
We used data from US poison control centers collected during telephone calls in calendar years 2000-2013 to compare snake envenomations with concomitant use of drugs, alcohol, or both to snakebites lacking such use.
A total of 608 snakebites with 659 instances of concomitant alcohol/drug use were reported, which represent approximately 1% of 92,751 snakebites reported to US poison control centers. An annual mean of 48 snakebites with concomitant use of alcohol/drugs was reported, compared with a mean of 6625 snakebites per year with no concomitant use of alcohol/drugs. Most cases involved men, peaked during the summer months, and involved copperheads or rattlesnakes, which mirrored overall trends. Snakebite victims who also used alcohol/drugs were more likely than victims with only a snakebite reported to be bitten by rattlesnakes, to be admitted to the hospital, and die. Alcohol was the most common reported concomitant substance, but other substances were reported.
Snakebites with concomitant use of alcohol/drugs are uncommon, accounting for approximately 1% of the snakebite envenomations reported annually to US poison control centers; however, snakebite victims also reporting alcohol/drug use are more likely to be bitten by rattlesnakes, be admitted to a healthcare facility, and die.
已发表的报告表明，一些蛇咬伤患者同时使用酒精或药物，但尚无对此类数据的全国性评估。
我们使用了美国毒物控制中心在2000 - 2013年历年电话随访中收集的数据，以比较伴有药物、酒精或两者同时使用的蛇咬伤情况与不伴有此类使用情况的蛇咬伤情况。
共报告了608例蛇咬伤事件，其中伴有酒精/药物使用的情况有659例，约占向美国毒物控制中心报告的92,751例蛇咬伤事件的1%。每年平均报告48例伴有酒精/药物使用的蛇咬伤事件，而每年平均有6625例蛇咬伤事件不伴有酒精/药物使用。大多数病例为男性，在夏季达到高峰，涉及铜头蛇或响尾蛇，这与总体趋势相符。同时使用酒精/药物的蛇咬伤患者比仅报告有蛇咬伤的患者更有可能被响尾蛇咬伤、入院治疗并死亡。酒精是报告中最常见的同时使用的物质，但也有其他物质被报告。
同时使用酒精/药物的蛇咬伤事件并不常见，约占每年向美国毒物控制中心报告的蛇咬伤中毒事件的1%；然而，同时报告使用酒精/药物的蛇咬伤患者更有可能被响尾蛇咬伤、入住医疗机构并死亡。
