中西医结合治疗蝮蛇咬伤503例临床分析

作者	单位
倪毓生	江苏省南通市中医院
孙爱珠	江苏省南通市中医院
保锦余	江苏省南通市中医院
蔡卫华	江苏省南通市中医院
龚旭初	江苏省南通市中医院

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中文摘要:

用中西医结合方法治疗蝮蛇咬伤503例,结果痊愈491例,占97.61%;无效12例,占2.39%。表明患者的年龄和伤痕齿距大小,伤后入院时间长短,局部与全身症状、体征,以及继发感染轻重、受累系统脏器多少等,均与中毒程度呈正相关。强调伤后必须坚持排毒解毒法,阻止蛇毒继续吸收和促进蛇毒的排泄;保护、改善肝肾功能,保持内环境稳定,重视继发性感染的防治,加强防治呼吸衰竭的意识,是抢救成功的关键。

英文摘要:

In this paper 503 cases of pallas pit viper bite had been treated with the method of TCM-WM. Among the 503 patients 491 were cured(curative rate 97.61%),however,12 patients were unfruitful (unfruitful rate 2.39%).The results showed that the poisoning degree of these cases had a positive correlationship with patient’s age,distance of snake teeth prints in wound,duration before admis- sion,local and systemic clinical manifestation,degree of secondary infection and the number oi the organ and system affected.In the treatment of the pallas pit viper bite,it was considered that should insisting the excluding poison and detoxifying methods,so as to cut off the absorption of the poison into the body and promote the discharge of the poison from the body,protect and improve the hepatic and renal funetion,keep the balance of inter.circumstance.Attach importance to prevent and treat secondary infection,and raise the awarences to prevent and treat respiratory failure.All these mentioned above were considered the key points to increase the curative rate of the patients.

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