Department of Internal Medicine, District Hospital Badin, Indus Hospital Network, Karachi.
District Hospital Badin, Indus Hospital Network, Karachi.
J Pak Med Assoc. 2022 Aug;72(8):1591-1597. doi: 10.47391/JPMA.4547.
To identify the population at risk of snakebite, the peak season and the site of bite.
The retrospective study was conducted at the Indus Hospital, Badin, Pakistan, and comprised data of patients bitten by snake between January 2017 and December 2020 in the rural area of the Sindh province who presented to the emergency room and were treated according to the institutional protocol. Data was collected on a structured proforma. Data was analysed using SPSS 21.
Of the 695 patients, 517(74.4%) were males and 178(25.6%) were females. The overall mean age was 29.9±15.7 years. Majority of the patients were farmers 294(42.3%), followed by labourers 195(28.1%). The most common site of snakebite was foot 556(80%). In 476(68.5%) cases, the snake type was not identified. Viper bite was noted in 193(28.2%) cases. Proteinuria, haematuria and renal dysfunction were observed in 302(43.5%), 302(43.5%) and 112(16.1%) patients, while leucocytosis, raised prothrombin time and low platelets were found in 305(43.5%), 268 (38.6%) and 100(14.4%) patients, respectively. Maximum number of cases took place in the peak summer month of July 112(16.1%). There were 8(1.2%) mortalities.
Morbidity and mortality by snakebite was found to be prevalent in the study site, calling for preventing strategies.
确定蛇咬伤的高危人群、高发季节和咬伤部位。
本回顾性研究在巴基斯坦俾路支省印度河医院进行，纳入了 2017 年 1 月至 2020 年 12 月期间在该省农村地区因被蛇咬伤而到急诊室就诊并根据院内方案接受治疗的患者数据。数据采集于结构化表格。使用 SPSS 21 进行数据分析。
695 例患者中，男性 517 例（74.4%），女性 178 例（25.6%）。患者的平均年龄为 29.9±15.7 岁。大多数患者为农民 294 例（42.3%），其次是劳工 195 例（28.1%）。最常见的咬伤部位是足部 556 例（80%）。476 例（68.5%）患者未识别出蛇的种类。193 例（28.2%）患者为蝰蛇咬伤。302 例（43.5%）患者出现蛋白尿、血尿和肾功能不全，302 例（43.5%）患者出现白细胞增多、凝血酶原时间延长和血小板减少，305 例（43.5%）患者、268 例（38.6%）患者和 100 例（14.4%）患者分别出现上述异常。7 月（高峰夏季月）发生的病例最多，为 112 例（16.1%）。有 8 例（1.2%）死亡病例。
在研究地点发现蛇咬伤的发病率和死亡率较高，需要采取预防策略。
