毒蛇咬伤后的中风:系统性审查和个体患者数据元分析
Thiago Almeida1, Suelen Pereira Priante2,3, Guilherme Pivoto João2
1Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, Brazil.
PLoS neglected tropical diseases
|December 4, 2025
概括
毒蛇咬伤 (SBE) 可以导致中风,导致高死亡率和残疾,特别是在低收入国家. 败血症,血小板减少和出血性中风增加死亡风险,突出了综合公共卫生战略的必要性.
科学领域:
- 神经学 神经学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 蛇毒 (SBE) 是一个被忽视的全球健康问题,具有严重的局部和系统性并发症.
- 系统性影响可能包括致命或永久性残疾性中风,原因是毒素诱导的血管和组织损伤.
研究的目的:
- 调查SBE之后的中风的临床和流行病学特征.
- 为了确定与SBE相关的中风患者死亡率的预测因素.
主要方法:
- 100项研究的系统综述和个体患者数据元分析.
- 包括130名SBE后中风患者,主要来自印度和巴西.
- 在多个数据库的搜索策略中遵循了PRISMA指南.
主要成果:
- 蛇类蛇 (Daboia russelii,Bothrops spp.) 是一种毒蛇. 导致大多数与SBE相关的中风 (96.4%).
- 缺血性中风比出血性中风 (38.5%) 更常见 (61.5%),多焦点大脑参与.
- 总体病例死亡率为23.4%;败血症和血小板减少预测死亡.
结论:
- 与SBE相关的中风是低收入和中等收入国家的医疗紧急情况,导致高死亡率和残疾.
- 承认中风是SBE的后果对于改善患者的治疗结果和公共卫生反应至关重要.
- 将有关死亡率预测因素的知识纳入卫生政策,可以减少发病率,促进残疾人纳入社会.
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