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袁丞达.杭州地区毒蛇咬伤临床流行病学分析[J].浙江中西医结合杂志,2016,26(7):
杭州地区毒蛇咬伤临床流行病学分析
A clinical and epidemiological study of venomous snakebite from Hangzhou area YUAN Cheng-da, KOU Xiao, WANG Xiao-yong, LUO Wei-dan, TAO Cheng-jun, WU Cheng-lin. HangZhou Traditional Chinese Medicine Hospital, HangZhou, Zhejiang 31007, China.Corresponding author:YUAN Cheng-da, E-mail:ahmuycd@aliyun.cn
投稿时间:2015-08-13  修订日期:2016-05-20
DOI:
中文关键词:  毒蛇咬伤  流行病学  
英文关键词:Snakebite  Epidemiology
基金项目:浙江省中医药科技计划项目课题 (基金编号2012ZB115) 杭州市卫生科技计划项目课题(基金编号2011A051)作者单位:浙江省杭州市中医院皮肤科, 浙江杭州310007
作者单位E-mail
袁丞达* 杭州市中医院 422019835@qq.com 
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中文摘要:
      目的 分析杭州地区毒蛇咬伤的发病情况及临床特点,用于指导对毒蛇伤害的预防、诊断和治疗。方法 回顾近2年我院收治的毒蛇咬伤病例1356例,对资料完整的865个留观病例进行分析与总结。结果 杭州地区毒蛇咬伤多发生在5~10月,以7~8月最为多见,好发年龄在20~69岁之间,毒蛇咬伤中以蝮蛇、五步蛇最为多见,五步蛇咬伤发生肢体肿胀、伤口出血、血小板计数降低、肌酶升高的比例最高,银环蛇咬伤早期临床症状一般较轻微,实验室检查一般无明显异常。
英文摘要:
      Objective To analyze the incidence and clinical characteristics of venomous snakebites in Hangzhou area. Method We collected 1356 snakebite cases in the past three years at our hospital, complete data of 865 observation cases analyzed and summarized. Results Most venomous snake bites occurred in the period May~October, July~August is the most common, most of the snakebite cases were 20~69 years of age; The viper and the acutus are common, limb swelling, wound bleeding, low platelet count, elevated muscle enzymes occurred in the highest proportion bitten by acutus, early clinical symptoms bitten by Coral are generally mild, generally no obvious abnormalities in laboratory tests.
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