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目的:调查东莞市毒蛇咬伤的流行病学情况,指导东莞市地区毒蛇咬伤伤害的防治工作。方法:收集2011-2014年东莞市人民医院急诊科收治毒蛇咬伤完整病例235例进行回顾性分析。结果:东莞市毒蛇咬伤有其特有的流行病学特征。毒蛇咬伤以竹叶青为主,占48.9%,眼镜蛇次之,占16.6%,银环蛇、蝮蛇、五步蛇偶发;全年均有发生,以4-11月份多发;以丘陵片区、山区片区、沿海片区、莞城片区多发,占83.9%;受伤年龄以40-59岁为主;受伤人群农民占29.4%,工人占28.5%;危重症2例,占0.9%。结论:该调查反映了东莞市毒蛇咬伤的流行病学特点,对当地毒蛇咬伤的预防和治疗具有相当意义。
Objective: To investigate the epidemiological situation of poisonous snake bites in Dongguan and to guide the prevention and treatment of poisonous snake bites in Dongguan. Methods: A retrospective analysis was performed on 235 complete cases of snake bites in the emergency department of Dongguan People’s Hospital from 2011 to 2014. Results: Dongguan snake bites have their own unique epidemiological characteristics. Viper bites mainly bamboo leaves, accounting for 48.9%, followed by cobra, accounting for 16.6%, bingo snake, viper, five-step snake sporadic; occurred throughout the year, with multiple occurrences in April-November; with hilly areas, mountainous areas The number of injured area was 40-59 years old. The injured peasants accounted for 29.4%, the workers accounted for 28.5%, and the critically ill patients accounted for 0.9%. Conclusion: This survey reflects the epidemiological characteristics of snake bites in Dongguan City and is of great significance to the prevention and treatment of local snake bites.