临床,实验室概况和东印度蛇咬儿童的结果
Biswajit Pattanaik1, Chinmaya Mahapatra1, I K Karthika1
1Departments of Paediatrics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Journal of family medicine and primary care
|September 28, 2023
概括
蛇咬是印度儿童的主要健康问题. 早期使用抗蛇毒 (ASV) 治疗显著减少并发症和住院时间,改善了儿科毒蛇咬伤受害者的治疗结果.
科学领域:
- 儿科医学 儿科医学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 毒蛇咬伤是全球健康的关键问题,导致大量的发病率和死亡率,特别是在服务不足的农村人口中.
- 印度东部的儿童不成比例地受到蛇咬伤的影响,需要详细了解他们的临床形状和结果.
研究的目的:
- 评估来自印度东部的儿科患者中蛇咬病例的临床特征,实验室发现和治疗结果.
- 为了确定影响儿童中毒并发症和康复的因素.
主要方法:
- 对2017年1月至2021年12月期间被蛇咬入院的儿童进行了回顾性病例记录分析.
- 临床特征,实验室数据,管理干预措施,并发症和患者结果都被系统地审查和分析.
主要成果:
- 分析了30例儿科蛇咬病例,男性占主导地位 (2.3:1) 平均年龄为10.4岁. 大多数咬伤 (96%) 发生在下肢,具有血管毒性 (53%) 和神经毒性特征.
- 与迟到 (7.2天) 相比,早到 (6小时前) 与急性损伤 (AKI) 等并发症较少,住院时间较短 (4.7天).
- 86.7%的儿童在没有后果的情况下出院,而10%的儿童违背了医疗建议离开,并且发生了一起死亡事件.
结论:
- 蛇咬对儿童构成重大威胁,突出了他们因户外活动而面临的脆弱性.
- 及时注射抗蛇毒 (ASV) 和避免传统的急救对于减轻并发症,减少住院时间和改善儿科蛇咬病例的结果至关重要.
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