지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,443 - 1,448 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Snakebite is an emergency which causes local symptoms such as pain and edema around the bite. Systemic symptoms may also develop, such as dizziness or renal failure, and may even cause death. The purpose of this research was to assess the validityand safety of snakebite protocol for surgery when treating snakebite patients.
Materials and Methods: Retrospective research was performed on patients who were admitted after being treated at the emergencycenter from January 2008 to December 2012. When necessary, debridement was also performed, and 46 of 111 patients (41.4%) underwent debridement. Those who had received debridement without antivenom administration due to a positive skin reaction test were classified as group A, and group B received antivenom and delayed debridement. We reviewed the emergency and admission charts of the patients in each group and recorded and compared their age, sex, bite site, severity of local and generalsymptoms, time to receive antivenin, and complications.
Results: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resultingin a skin graft. In group B, there were 36 patients (78.2%), 19 (52.7%) of whom developed cellulitis. Skin necrosis occurred in two patients, and one of these patients received a skin graft. Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed.
Conclusion: The treatment protocol implemented to treat snakebite patients admitted to the emergency center during this researchwas safely and properly followed during surgical treatment.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Alirol E / 2010 / Snake bite in South Asia: a review / PLoS Negl Trop Dis 4 : e603 ~
Cohen WR / 1992 / Local heat and cold application after eastern cottonmouth moccasin (Agkistrodon piscivorus) envenomation in the rat: effect on tissue injury / Toxicon 30 :
Dart RC / 1997 / Affinity-purified, mixed monospecific crotalid antivenom ovine Fab for the treatment of crotalid venom poisoning / Ann Emerg Med 30 : 33 ~ 39
Dart RC / 2001 / A randomized multicenter trial of crotalinae polyvalent immune Fab (ovine) antivenom for the treatment for crotaline snakebite in the United States / Arch I
Frank HA / 1971 / Snakebite or frostbite: what are we doing? An evaluation of cryotherapy for envenomation / Calif Med 114 : 25 ~ 27
Cohen WR / 1992 / Local heat and cold application after eastern cottonmouth moccasin (Agkistrodon piscivorus) envenomation in the rat: effect on tissue injury / Toxicon 30 :
Dart RC / 1997 / Affinity-purified, mixed monospecific crotalid antivenom ovine Fab for the treatment of crotalid venom poisoning / Ann Emerg Med 30 : 33 ~ 39
Dart RC / 2001 / A randomized multicenter trial of crotalinae polyvalent immune Fab (ovine) antivenom for the treatment for crotaline snakebite in the United States / Arch I
Frank HA / 1971 / Snakebite or frostbite: what are we doing? An evaluation of cryotherapy for envenomation / Calif Med 114 : 25 ~ 27
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