McNally S L, Reitz C J
Shongwe Hospital, Kangwane.
S Afr Med J. 1987 Dec 19;72(12):855-60.
The epidemiology of snakebite in 251 patients admitted to Shongwe Hospital is described for the period 1978-1982. The incidence of bites, their seasonal variation, environmental and population factors, age and sex variations, the bite-site, bite-admission time and bite incidents are analysed. First-aid is frequently administered inappropriately even when given by a health professional. A pregnant patient who went into labour following a mild to moderate cytotoxic snakebite was delivered of a healthy premature infant. The dangers of snakebite during pregnancy are discussed. The mean incidence of snakebite for the 5 years in review was 8,4/1,000 admissions and 34/100,000 population/yr, which is higher than that reported in other surveys.
本文描述了1978 - 1982年期间收治于松圭医院的251例蛇咬伤患者的流行病学情况。分析了咬伤的发生率、季节变化、环境和人口因素、年龄和性别差异、咬伤部位、咬伤至入院时间以及咬伤事件。即使是由卫生专业人员进行急救，也常常存在不当操作的情况。一名孕妇在遭受轻度至中度细胞毒性蛇咬伤后分娩，产下一名健康的早产儿。文中讨论了孕期蛇咬伤的危险性。回顾这5年期间，蛇咬伤的平均发生率为每1000例入院患者中有8.4例，每年每10万人口中有34例，这一发生率高于其他调查所报告的水平。
