Clinical analysis of the limb tissue necrosis after being bitten by poisonous snake
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摘要: 目的：对毒蛇咬伤后四肢组织坏死的原因进行分析，指导临床治疗。方法：回顾我院收治的毒蛇咬伤246例，统计四肢组织坏死情况、中毒严重程度、伤口切开排毒与否、伤口感染、早期肢体结扎时间并进行相关性统计学分析。结果：本组毒蛇咬伤后四肢组织总体坏死发生率为15%，中毒严重程度、伤口切开、感染、伤口长时间结扎均与组织坏死的发生相关，均P<0.05。结论：毒蛇咬伤后四肢组织坏死的原因复杂，可能与就诊时间、中毒严重程度、伤口切开、感染、早期肢体长时间结扎等因素有关。Abstract: Objective: To analyze the reasons of limb tissue necrosis after being bitten by poisonous snake and to guide the clinic treatment.Method: The clinical data of 246 cases of snake bite patients admitted into our department from 2010 to 2011 were reviewed and analyzed. The necrosis of the limb, the levels of poisoning severity, the incision and infection of bite sites and the bundling time of wounded limbs were analyzed statistically. Result: The whole incidence of limb tissue necrosis approach up to 15%.The necrosis was related with levels of poisoning severity, incision and infection of bite sites, long bundling time of bitten limbs with P<0.05 respectively.Conclusion: Levels of poisoning severity, incision and infection of bite sites, long time bundling of bitten limbs were probably reasons of the limb tissue necrosis after being bitten by poisonous snake.
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Key words:
- poisonous snake bites /
- tissue necrosis /
- reasons
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