Đặc điểm tổn thương tại chỗ ở người bệnh bị rắn hổ mang cắn, điều trị tại Bệnh viện Bạch Mai từ tháng 7/2023 đến tháng 6/2024=Characteristics of local injuries in patients bitten by cobras, treated at Bach Mai Hospital from July 2023 to June 2024

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Tác giả: Văn Dương Đặng, Trần Hưng Hà, Trung Nguyên Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.110-115

Bộ sưu tập: Metadata

ID: 242201

Thêm vào giỏ

Describe the characteristics of local injuries in patients bitten by cobras (Naja spp) treated at Bach Mai Hospital from July 2023 to June 2024. Methods: A cross-sectional descriptive study on 117 patients bitten by cobras. Results: The majority of cases involved N. atra bites, accounting for 70.9%, with 82.1% of bites occurring on the hands. Bites with a single fang mark accounted for half of the patients (50.4%). Clinical manifestations at the site showed pain in 94.9% of patients, with an average pain score of 6.2±2.3, median 7. Swelling was observed in 80.3% of patients, with an average limb circumference difference of 1.6±1.9 cm, median 1 cm. Spread of venom was noted in 82.9% of patients, with an average spread area of 15.9±11.7 cm², median 12 cm². Necrosis was present in 58.1% of patients, with an average necrotic area of 10.2±16.9 cm², median 4 cm². Conclusion: There are various forms of local injuries caused by cobra bites, such as pain, swelling, spread of venom, and necrosis.Mô tả đặc điểm tổn thương tại chỗ ở bệnh nhân bị rắn hổ mang (Naja spp) cắn điều trị tại Bệnh viện Bạch Mai từ tháng 7 năm 2023 đến tháng 6 năm 2024. Phương pháp: Nghiên cứu mô tả cắt ngang trên 117 người bệnh bị rắn hổ mang cắn. Kết quả: Phần lớn bệnh bị rắn hổ N.atra chiếm 70,9%, bị cắn ở tay với 82,1%
vết cắn với 1 dấu răng chiếm một nửa số người bệnh (50,4%). Biểu hiện lâm sàng tại chỗ cho thấy biểu hiện đau có 94,9% người bệnh, trong đó điểm đau trung bình 6,2 ± 2,3, trung vị 7. Sưng nề chiếm 80,3% người bệnh, trong đó chênh lệch vòng chi trung bình 1,6±1,9 cm, trung vị 1 cm. Lan xa có 82,9% người bệnh, diện tích lan xa trung bình 15,9 ± 11,7 cm2, trung vị 12 cm2. Hoại tử có 58,1% người bệnh, diện tích hoại tử trung bình 10,2 ± 16,9 cm2, trung vị 4 cm2. Kết luận: Có nhiều hình thái tổn thương tại chỗ do rắn hổ mang cắn như đau, sưng nề, lan xa và hoại tử.

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