韩国 70 例犬咬伤的临床特征和处理。
Clinical features and management of snake bites in 70 dogs in Korea.
机构信息
Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University, Daegu 41566, Korea.
Haemaru Referral Animal Hospital, Seongnam 13590, Korea.
出版信息
J Vet Sci. 2022 Nov;23(6):e81. doi: 10.4142/jvs.22105. Epub 2022 Sep 8.
BACKGROUND
Snakebites remain a devastating and life-threatening environmental hazard. While the management of snakebites has been well described in humans, few clinical data and guidelines exist for dogs, especially in Korea.
OBJECTIVES
This retrospective study evaluated the clinical features of 70 dogs with snakebite wounds in Korea.
METHODS
The medical records of 72 dogs that presented to three animal hospitals from June 2008 to July 2021 were reviewed; among these, 70 dogs that met the inclusion criteria were enrolled. Their signalment, history, clinical signs, physical examination, blood analysis, treatment, and prognosis were also evaluated.
RESULTS
Of 70 dog owners, 35 (50%) witnessed the bite, with a mean time between bite and hospital presentation of 9.7 ± 4.1 h in 58 dogs. Blood smears were evaluated in 45 dogs, of which 28 (62%) showed echinocytosis. Anemia and acute kidney injury were found in 21 (29%) and 2 dogs (3%), respectively. A total of 37 dogs (53%) were hospitalized, 5 (7%) of which died.
CONCLUSIONS
The most significant finding was the high prevalence of echinocytosis. The data from this retrospective study could inform the management of dogs bitten by snakes in Korea.
背景
蛇伤仍然是一种具有破坏性和威胁生命的环境危害。虽然人类的蛇伤处理已有详细描述，但针对狗的临床数据和指南很少，尤其是在韩国。
目的
本回顾性研究评估了韩国 70 例被蛇咬伤的狗的临床特征。
方法
回顾了 2008 年 6 月至 2021 年 7 月期间三家动物医院收治的 72 只狗的病历，其中符合纳入标准的 70 只狗被纳入研究。评估了它们的一般情况、病史、临床症状、体格检查、血液分析、治疗和预后。
结果
在 70 位狗主人中，35 位（50%）目击了咬伤，58 只狗中从咬伤到就诊的平均时间为 9.7 ± 4.1 h。对 45 只狗进行了血涂片评估，其中 28 只（62%）显示出棘形红细胞。21 只（29%）狗出现贫血，2 只（3%）狗出现急性肾损伤。共有 37 只（53%）狗住院，其中 5 只（7%）死亡。
结论
最显著的发现是棘形红细胞的高患病率。本回顾性研究的数据可为韩国被蛇咬伤的狗的管理提供信息。
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