摘要
目的:探讨毒蛇咬伤致重度中毒治疗的临床疗效。方法:2009～2010年收治毒蛇咬伤导致的重度中毒患者58例,随机分两组,治疗组30例和对照组28例,治疗组采取血液透析治疗,对照组采取常规治疗,对比两组患者的治疗效果。结果:两组患者临床疗效比较,治疗组治愈28例,治愈率93.3%,死亡1例,放弃1例,对照组治愈5例,治愈率17.9%,死亡16例,放弃7例,治疗组治愈率显著优于对照组,P<0.05具有统计学意义。结论:血液透析治疗毒蛇咬伤所致的重度中毒患者具有疗效确切,不良反应小,治愈率高的特点,值得临床推广应用。
Objective：To study curative effect of severe poisoning by thanatophidia bite. Methods： 58 severe poisoning patients by thanatophidia bite from January of 2009 to December of 2010 were divided into therapy group（ n = 30 ） and control group （ n = 28 ）. Haemodialysis was administrated in the therapy group,while conventional therapy in control group. Prognosis was compared between two groups. Results： Recovery rate was higher in therapy group than in control group （ 93.3% vsl7.9%, P 〈 0. 05 ）. One case was died and one case abandoned treatment in therapy group. 16 case was died and 7 case abandoned treatment in control group. Conclusion ： Being effective, with little side effect and higher recovery rate, haemodialysis severe poisoning patients by thanatophidia bite should be applied generally.
关键词
毒蛇咬伤
重度中毒
疗效观察
thanatophidia bite
severe poisoning
Curative effect
