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《中国蛇伤救治指南》

The Chinese guideline for management of snakebites.

作者信息

Lai Rongde, Yan Shijiao, Wang Shijun, Yang Shuqing, Yan Zhangren, Lan Pin, Wang Yonggao, Li Qi, Wang Jinlong, Wang Wei, Ma Yuefeng, Liang Zijing, Zhang Jianfeng, Zhou Ning, Han Xiaotong, Zhang Xinchao, Zhang Mao, Zhao Xiaodong, Zhang Guoqiang, Zhu Huadong, Yu Xuezhong, Lyu Chuanzhu

机构信息

Emergency Department, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

School of Public Health, Hainan Medical University, Haikou 571199, China.

出版信息

World J Emerg Med. 2024;15(5):333-355. doi: 10.5847/wjem.j.1920-8642.2024.076.

DOI:10.5847/wjem.j.1920-8642.2024.076
PMID:39290598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11402871/
Abstract

In 2009, the World Health Organization included snakebite on the list of neglected tropical diseases, acknowledging it as a common occupational hazard for farmers, plantation workers, and others, causing tens of thousands of deaths and chronic physical disabilities every year. This guideline aims to provide practical information to help clinical professionals evaluate and treat snakebite victims. These recommendations are based on clinical experience and clinical research evidence. This guideline focuses on the following topics: snake venom, clinical manifestations, auxiliary examination, diagnosis, treatments, and prevention.

摘要

2009年,世界卫生组织将蛇咬伤列入被忽视的热带病名单,承认它是农民、种植园工人及其他人员常见的职业危害,每年导致数万人死亡和慢性身体残疾。本指南旨在提供实用信息,以帮助临床专业人员评估和治疗蛇咬伤受害者。这些建议基于临床经验和临床研究证据。本指南重点关注以下主题:蛇毒、临床表现、辅助检查、诊断、治疗及预防。

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本文引用的文献

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Snakebite-Associated Infections: A Systematic Review and Meta-Analysis.蛇伤相关感染:系统评价和荟萃分析。
Am J Trop Med Hyg. 2024 Mar 19;110(5):874-886. doi: 10.4269/ajtmh.23-0278. Print 2024 May 1.
2
Impact of tourniquet use on severity of snakebite envenoming in Chongqing, China: a single-center retrospective study.中国重庆止血带使用对蛇咬伤严重程度的影响:一项单中心回顾性研究。
J Int Med Res. 2024 Jan;52(1):3000605231225540. doi: 10.1177/03000605231225540.
3
The Incidence of Infection Complicating Snakebites in Tropical Australia: Implications for Clinical Management and Antimicrobial Prophylaxis.澳大利亚热带地区蛇咬伤并发感染的发生率:对临床管理和抗菌预防的启示
J Trop Med. 2023 Oct 12;2023:5812766. doi: 10.1155/2023/5812766. eCollection 2023.
4
Compartment Syndrome after Crotalid Envenomation in the United States: A Review of the North American Snakebite Registry from 2013 to 2021 on Behalf of the ToxIC Snakebite Study Group.美国响尾蛇咬伤后发生的筋膜室综合征:代表 ToxIC 蛇咬伤研究小组对 2013 年至 2021 年北美蛇咬伤登记处的回顾。
Wilderness Environ Med. 2023 Sep;34(3):322-327. doi: 10.1016/j.wem.2023.05.007. Epub 2023 Jul 18.
5
Snake Antivenoms-Toward Better Understanding of the Administration Route.蛇抗蛇毒血清-更好地理解给药途径。
Toxins (Basel). 2023 Jun 15;15(6):398. doi: 10.3390/toxins15060398.
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Diagnostic characteristics of the 20-minute whole blood clotting test in detecting venom-induced consumptive coagulopathy following carpet viper envenoming.20 分钟全血凝血试验诊断矛头蝮蛇咬伤后消耗性凝血障碍的特征。
PLoS Negl Trop Dis. 2023 Jun 26;17(6):e0011442. doi: 10.1371/journal.pntd.0011442. eCollection 2023 Jun.
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Snakebite-associated thrombotic microangiopathy: a spotlight on pharmaceutical interventions.蛇咬伤相关性血栓性微血管病:关注药物干预措施。
Expert Rev Clin Pharmacol. 2023 Jan-Jun;16(6):559-574. doi: 10.1080/17512433.2023.2220963. Epub 2023 Jun 15.
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Role of steroid on management of limb swelling and local pain in haematotoxic snake bite.类固醇在血液毒性蛇咬伤肢体肿胀和局部疼痛管理中的作用
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Eur J Med Res. 2023 Mar 21;28(1):131. doi: 10.1186/s40001-023-01101-x.
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Clinical aspects of snakebite envenoming and its treatment in low-resource settings.低资源环境下蛇伤中毒的临床特点及其治疗。
Lancet. 2023 Apr 22;401(10385):1382-1398. doi: 10.1016/S0140-6736(23)00002-8. Epub 2023 Mar 14.