Mana Kaushik, Ghosh Rituparna, Gantait Kripasindhu, Saha Kanchan, Parua Poulami, Chatterjee Upasana, Sarkhel Sumana
Department of Human Physiology with Community Health, Vidyasagar University, Paschim Medinipur, 721102, West Bengal, India.
Department of Medicine, Midnapur Medical College, Paschim Medinipur, 721102, West Bengal, India.
Toxicol Rep. 2019 Mar 1;6:239-243. doi: 10.1016/j.toxrep.2019.02.008. eCollection 2019.
Snake envenomation is a major cause of death and disability in the developing countries. In India and neighboring countries, the four venomous snakes of concern include - Indian cobra(, Common Krait (); Russell's Viper (); Saw Scaled Viper (). We describe the management protocol for snakebite treatment in a tertiary care hospital of district, West Bengal based on case reports of subjects admitted and treated in Ghatal Subdivisional Hospital(GSH) during 2013-2016.
METHODS &MATERIALS: We developed a structured data collection form to record demographic and clinical details of patients hospitalized at GSH between 1 January 2013 through 31 December 2016.
Snake bite cases in Ghatal Subdivisional hospital(GSH) were assessed during the period 2013-2016. A total due to snakebite has been reported from this tertiary care hospital during the period. Total patients admitted in this hospital with snakebite is during the period 2013-2016. In 80% of the cases the lower extremities were affected. Preliminary first aid was provided in 45% cases. About 65% of the affected victims suffered snakebite in the morning hours. Some of the recommended drugs that were prescribed by the physicians of GSH were neostigmine, atropine, adrenaline, hydrocortisone, Amoxicillin. WBCT and Urea, Creatinine level were routinely performed.
Hospital studies are a key source of information about snake bites. The ready availability and appropriate use of AVS, close monitoring of patients, the institution of ventilator support and if required, early referral to a larger hospital all help to reduce the mortality. Thus knowledge of the varied clinical manifestations of snake bite is important for effective management in hospitals by a complete health care team.
蛇咬伤是发展中国家死亡和残疾的主要原因。在印度及周边国家，四种受关注的毒蛇包括印度眼镜蛇、金环蛇、罗素蝰蛇、锯鳞蝰蛇。我们基于2013 - 2016年在加塔尔分区医院（GSH）收治和治疗的患者病例报告，描述了西孟加拉邦某地区三级护理医院蛇咬伤治疗的管理方案。
我们设计了一份结构化数据收集表，用于记录2013年1月1日至2016年12月31日期间在GSH住院患者的人口统计学和临床详细信息。
对2013 - 2016年期间加塔尔分区医院（GSH）的蛇咬伤病例进行了评估。在此期间，这家三级护理医院共报告了因蛇咬伤导致的[具体数量未给出]病例。2013 - 2016年期间，该医院共收治了[具体数量未给出]例蛇咬伤患者。80%的病例下肢受到影响。45%的病例接受了初步急救。约65%的受影响受害者在上午被蛇咬伤。GSH的医生开出的一些推荐药物有新斯的明、阿托品、肾上腺素、氢化可的松、阿莫西林。常规进行了全血细胞计数（WBCT）以及尿素和肌酐水平检测。
医院研究是蛇咬伤信息的关键来源。抗蛇毒血清（AVS）的随时可得和恰当使用、对患者的密切监测、呼吸机支持的建立以及必要时尽早转诊至更大的医院，所有这些都有助于降低死亡率。因此，了解蛇咬伤的各种临床表现对于完整的医疗团队在医院进行有效管理很重要。
