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优化资源匮乏环境下圆斑蝰蛇咬伤患者的生存:两例病例报告。

Optimizing survival in Russell's viper bite cases in low-resource setting: two case reports.

机构信息

Dhaka Medical College Hospital, Dhaka, 1100, Bangladesh.

Noncommunicable Disease, Directorate General of Health Services, Mohakhali, Dhaka, 1212, Bangladesh.

出版信息

J Med Case Rep. 2024 Feb 15;18(1):56. doi: 10.1186/s13256-024-04354-0.

Abstract

INTRODUCTION

Snakebite envenomation poses a significant health risk, particularly in low-resource settings where access to proper treatment is limited.

CASE PRESENTATION

This study reports two cases of Russell's viper bites in rural Bangladesh, involving 48 and 35-year-old Bangladesh males, respectively, and highlights the difficulties in providing adequate medical care and in treating any complications that may arise. Both cases involved delayed access to healthcare, initial visit to traditional healers, and the development of severe complications such as coagulopathy, renal failure. After the intervention both cases survived which is scarce in low resource settings.

CONCLUSION

The cases underscore the importance of early recognition, appropriate management, and improved healthcare infrastructure to optimize survival outcomes in snakebite cases in resource-limited settings. These cases will contribute valuable insights to the field of snakebite management and provide guidance for improving survival rates and outcomes among snakebite victims in Bangladesh.

摘要

简介

蛇咬伤会对健康造成严重威胁,特别是在资源有限的环境中,获得适当的治疗受到限制。

病例报告

本研究报告了孟加拉国农村地区的两例罗素蝰蛇咬伤病例,分别涉及 48 岁和 35 岁的孟加拉男性,并强调了提供充分医疗护理以及治疗任何可能出现的并发症的困难。这两个病例都涉及到延迟获得医疗保健、最初寻求传统治疗者以及出现严重并发症(如凝血功能障碍、肾衰竭)。经过干预,两例病例都存活下来,这在资源有限的环境中是罕见的。

结论

这些病例强调了在资源有限的环境中,早期识别、适当的管理和改善医疗保健基础设施对于优化蛇咬伤患者的生存结果至关重要。这些病例将为蛇咬伤管理领域提供有价值的见解,并为提高孟加拉国蛇咬伤受害者的生存率和结果提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bde/10868078/4c464f94327d/13256_2024_4354_Fig1_HTML.jpg

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