中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
1-3,4
,共4页
蝮蛇咬伤%肢体肿胀%心肌酶谱
蝮蛇咬傷%肢體腫脹%心肌酶譜
복사교상%지체종창%심기매보
Agkistrodon halys bite%Limb swelling%Myocardial enzyme spectrum
目的：探讨蝮蛇咬伤后患者就诊时间与心肌酶谱及伤肢肿胀的关系，以期指导临床治疗。方法：回顾性分析蝮蛇咬伤中毒患者140例的临床资料，根据就诊时间的不同分为三组，分别为：就诊时间≤12 h组（A组），12 h<就诊时间≤24 h组（B组）和就诊时间>24 h组（C组），并根据患者肢体肿胀程度分轻度、中度、重度肿胀三组。分组统计入院时间与心肌损害有关的心肌酶谱指标，并统计肢体肿胀与相关的心肌酶谱指标，进行临床关系分析。结果：入院时间与心肌酶谱升高相关，24 h以后心肌酶谱明显升高。蝮蛇咬伤肢体肿胀发展快，12 h以内已达到高峰。中、重度肿胀组与轻度肿胀组比较，心肌酶谱各项指标明显增高，比较差异均有统计学意义（P<0.001）。结论：蝮蛇咬伤后肢体肿胀及心肌损害发展快，因此应尽快进行受伤肢体肿胀的治疗，并应尽早防治心肌损害。
目的：探討蝮蛇咬傷後患者就診時間與心肌酶譜及傷肢腫脹的關繫，以期指導臨床治療。方法：迴顧性分析蝮蛇咬傷中毒患者140例的臨床資料，根據就診時間的不同分為三組，分彆為：就診時間≤12 h組（A組），12 h<就診時間≤24 h組（B組）和就診時間>24 h組（C組），併根據患者肢體腫脹程度分輕度、中度、重度腫脹三組。分組統計入院時間與心肌損害有關的心肌酶譜指標，併統計肢體腫脹與相關的心肌酶譜指標，進行臨床關繫分析。結果：入院時間與心肌酶譜升高相關，24 h以後心肌酶譜明顯升高。蝮蛇咬傷肢體腫脹髮展快，12 h以內已達到高峰。中、重度腫脹組與輕度腫脹組比較，心肌酶譜各項指標明顯增高，比較差異均有統計學意義（P<0.001）。結論：蝮蛇咬傷後肢體腫脹及心肌損害髮展快，因此應儘快進行受傷肢體腫脹的治療，併應儘早防治心肌損害。
목적：탐토복사교상후환자취진시간여심기매보급상지종창적관계，이기지도림상치료。방법：회고성분석복사교상중독환자140례적림상자료，근거취진시간적불동분위삼조，분별위：취진시간≤12 h조（A조），12 h<취진시간≤24 h조（B조）화취진시간>24 h조（C조），병근거환자지체종창정도분경도、중도、중도종창삼조。분조통계입원시간여심기손해유관적심기매보지표，병통계지체종창여상관적심기매보지표，진행림상관계분석。결과：입원시간여심기매보승고상관，24 h이후심기매보명현승고。복사교상지체종창발전쾌，12 h이내이체도고봉。중、중도종창조여경도종창조비교，심기매보각항지표명현증고，비교차이균유통계학의의（P<0.001）。결론：복사교상후지체종창급심기손해발전쾌，인차응진쾌진행수상지체종창적치료，병응진조방치심기손해。
Objective:To explore the agkistrodon halys bite after the time of patients with myocardial enzyme spectrum and the relationship of the injured limb swelling,in order to guide clinical treatment.Method:The clinical data of 140 patients bitten by agkistrodon halys poisoning were retrospectively analyzed,according to the different treatment time,they were randomly divided into three groups respectively:time to 12 h or less group(group A),12 h<time<24 h or less group(group B) and clinical time >24 h group(group C),and according to the limb swelling degree,the patients were divided into the mild swelling group,the moderate swelling group,the severe swelling group.To group and recorde admission time and myocardial damage related enzyme spectrum index,and observe the limb swelling and myocardial enzyme spectrum associated index,analyze the clinical relationship.Result:Admission time was associated with elevated myocardial enzymes,myocardial enzyme spectrum increased significantly after 24 hours a day.The agkistrodon halys bites limb swelling developed rapidly,had reached within 12 hours.Conclusion:The limb swelling and myocardial injury development fast after Agkistrodon halys bite,so as soon as possible for the treatment of injured limb swelling and should prevent myocardial damage as early as possible.
