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我院地处东北山区,夏秋季蝮蛇咬伤多见,救治关键是早期有效地排除蛇毒,延缓蛇毒吸收。1990～1999年,我们采用留置自制引流针配合综合疗法救治蝮蛇咬伤82例,效果良好,总结如下。 1 临床资料本组男54例,女28例;年龄5～51岁。受伤部位:手部49例,腕部5例,足部20例。小腿8例。伤后至入院时间在1～72h,<24h70例,超过24h12例。本组多表现为局部剧痛,伤口流暗红色血水。局部肿胀,并逐渐向近心端蔓延。伤口周围皮肤呈青紫色或有淤斑,36例伴有水泡或血泡,17例有不同程度恶心、头晕、心悸及患肢麻木感。2例入院时即有休克,其中1例伴有便血,另1例合并
Our hospital is located in the northeastern mountainous area, summer and autumn viper bite more common, the key is to effectively rescue the early snake venom, delay snake venom absorption. From 1990 to 1999, we used indwelling self-made drainage needle combined with comprehensive treatment of viper snake bite in 82 cases, the effect is good, summarized as follows. 1 Clinical data The group of 54 males and 28 females; aged 5 to 51 years. Injured parts: 49 cases of hand, wrist in 5 cases, 20 cases of foot. 8 cases of calf. Injury to admission time in 1 ~ 72h, <24h70 cases, more than 24h12 cases. This group showed more severe local pain, dark red wound blood flow. Local swelling, and gradually spread to the proximal end. Skin around the wound was purple or ecchymosis, 36 cases associated with blisters or blood bubbles, 17 cases of varying degrees of nausea, dizziness, palpitations and limb numbness. Two patients had shock on admission, including one with hematochezia and one with merger