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在儿科患者中,蛇咬引起的急性损伤
Nayara Casagrande Messias1, Stephanie Soares da Silva2, Denise Bousfield da Silva3
1Centro de Ciência da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil. nayaracm38@gmail.com.
Pediatric nephrology (Berlin, Germany)
|February 25, 2025
概括
急性损伤 (AKI) 影响了15.9%的博特罗普斯蛇咬伤儿童. 危险因素包括严重的症状,白细胞瘤和局部亡,强调了儿童蛇咬伤受害者需要及时医疗护理的必要性.
科学领域:
- 儿科脏病学 儿科脏病学
- 毒理学 毒理学 毒理学
- 流行病学 流行病学
背景情况:
- 蛇咬对全球健康构成重大威胁,每年造成数以百万计的毒害和数万人的死亡.
- 急性损伤 (AKI) 是蛇咬的首要并发症,特别是涉及Bothrops物种的并发症,但其在儿童中的发病率尚未得到充分记录.
研究的目的:
- 为了确定患有Bothrops蛇咬伤的儿科患者AKI的频率.
- 确定与此脆弱人群中AKI发展相关的风险因素.
主要方法:
- 在巴西圣卡塔里纳州 (2014-2020年) 的博特罗普斯蛇咬伤的儿童 (0-18岁) 的回顾性研究.
- AKI的诊断和分期使用病改善全球结果 (KDIGO) 标准.
主要成果:
- 在463名儿科患者中,15.9%患有AKI,大多数病例 (94.5%) 处于I阶段.
- 患有AKI的儿童更有可能出现白细胞瘤,尿液分析异常,严重的初始分类,隔间综合征和局部亡.
- 受影响最大的年龄组为8-12岁,82.6%的人在3小时内获得医疗护理.
结论:
- 在儿科Bothrops蛇咬伤中,AKI的发生率为15.9%.
- 关键的AKI风险因素包括严重的初始呈现,白细胞症,尿液分析异常,隔间综合征和局部.
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