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本文介绍采用气管切开人工呼吸、中草蛇药及西药对症治疗抢救11例蝮蛇咬伤呼吸停止的体会。11例抢救成功6例,死亡5例。救活6例均做了气管切开;死亡5例中2例未做气管切开,3例气管切开后好转,但终因术后并发症死亡,表明气管切开人工辅助呼吸是一有效抢救措施。讨论了辅助呼吸过程中防止并发症的重要意义和方法,初步描述了蝮蛇咬伤呼吸停止的发生、发展经过,提出咬伤早期眼睑下垂、晚期伸舌困难是呼吸停止的先兆,应予注意。
This article describes the use of tracheotomy artificial respiration, Chinese herbal medicine and western medicine symptomatic treatment of 11 cases of viper snake bites respiratory arrest experience. 11 cases of successful rescue in 6 cases, 5 deaths. Rescue all 6 cases were tracheotomy; 5 cases of death in 2 cases without tracheotomy, tracheotomy in 3 cases improved, but eventually died of complications, indicating that tracheotomy artificial assisted breathing is an effective Rescue measures The significance and methods of preventing complications during assisted breathing were discussed. The occurrence of respiratory arrest in viper snakebites was preliminarily described. After the development, the eyelid ptosis at early bite was presented. .