685例毒蛇咬伤救治体会.docVIP

685例毒蛇咬伤救治体会 　　【摘要】 目的：探讨毒蛇咬伤的救治体会。方法：选取本院被毒蛇咬伤患者685例，根据自愿原则分为西医医治对照组335例和中西医结合医治试验组350例，比较两组的医治效果。结果：试验组283例患者达到治愈的标准，66例好转，1例因救治不及时导致死亡，治愈率为80.9%；对照组230例患者达到治愈的标准，100例好转，5例患者因救治不及时导致死亡，治愈率为68.7%；试验组治愈率高于对照组，两组比较差异有统计学意义（P0.05）。结论：使用中西医结合的方式医治毒蛇咬伤，具有重要的临床意义。 　　【关键词】 毒蛇咬伤； 中西医结合； 救治体会 　　【Abstract】 Objective：To analyze the treatment of 685 cases with snakebite.Method：685 cases with snakebite in our hospital were chosen and divided into the control group of 335 cases and experiment group of 350 cases according to voluntary principle.Patients in the control group were treated with western medicine，while in experiment group were treated with both Chinese traditional and western medicine.The treatment results of the two groups were compared.Result：In the experiment group，283 patients achieved cure criteria，66 patients achieved improved criteria and 1 patient died because of not being treated in time，the cure rate was 80.9%.In the experiment group，230 patients achieved cure criteria，100 patients achieved improved criteria and 5 patients died because of not being treated in time，the cure rate was 68.7%.The cure rate of the experiment group was higher than that of the control group，the difference was statistic significant （P0.05）.Conclusion：Combination of Chinese traditional and western medicine for snakebite is significant in clinical. 　　【Key words】 Snakebite； Combination of Chinese traditional and western medicine； Treatment analysis 　　First-author’s address：Heyuan People’s Hospital，Heyuan 517000，China 　　doi：10.3969/j.issn.1674-4985.2017.04.024 　　毒蛇咬伤致死的原因是毒蛇牙中的毒腺分泌的蛇毒造成的，蛇毒的主要成分为蛋白质，系多肽和多种酶[1]。患者被咬后，医生通过留下的牙印的情况和发病的速度和症状等可以判断由什么毒蛇咬伤[2-5]。在西医医治时一般使用对应的抗蛇毒的血清，可以解毒。在中医医治中使用对应的草药医治解毒。本文选取本院被毒蛇咬伤的患者685例，根据自愿原则分为实行西医医治的对照组和实行中西医结合医治的试验组，具体报道如下。 　　1 资料与方法 　　1.1 一般资料 选取2009年6月-2016年6月本院救治的被毒蛇咬伤患者685例，根据自愿原则分为西医治疗的对照组335例和中西医结合治疗的试验组350例。所选患者中女200例，男485例；年龄3～70岁，平均（32.3±3.5）岁；663例患者来自急诊室，22例患者来自重症监护室；453例农民，125例从事养蛇业，15例学生，32例学龄期儿童，30例工人，15例军人，15例干部。排除标准：（1）患者有其他重大疾病，如严