秦皇岛市2577例海蜇蜇伤流行病学分析

摘要

目的 分析海蜇蜇伤患者流行病学资料及临床特征,为预防及诊治提供科学依据.方法 回顾性分析秦皇岛市北戴河医院收治的2577例海蜇蜇伤患者的临床资料,对其流行病学特点、临床表现、诊断治疗及预后进行描述性统计学分析.结果 2577例患者中儿童1313例,成人1264例,男性1508例,女性1069例,年龄0.5~78岁,蜇伤部位以下肢最为常见(70.94%).海蜇蜇伤轻型患者占大多数为2536例(98.41%),中型患者33例(1.28%),重型患者8例(0.31%),无死亡病例.近3年海蜇蜇伤发生例数呈逐年减少趋势.结论 海蜇蜇伤应以预防为主,有效的预防措施可显著降低发生率.治疗主要关注过敏反应,重视局部处理,同时防范其他并发症,以减少病死率.%Objective To analyze the epidemiological data and clinical features of jellyfish stings,and to provide scientific basis for prophylaxes,diagnosis and treatment.Methods The 2577 clinical cases of jellyfish stings in Beidaihe hospital of Qinhuangdao were restrospectively analyzed.The epidemiological characteristics,clinical symptom,diagnosis,treatment method and prognosis were included in the descriptive statistical analysis.Results Of the 2577 cases, there were 1313 children,1264 adults,aged from 0.5 to 78 years(male 1508,female 1069 ). Lower limbs were most frequently stinged,account for 70.94%.The majority of jellyfish stings were mild in 2536 patients(98.41%),33 in moderate patients(1.28%),and 8 in severe patients (0.31%),with no deaths.In recent 3 years,the number of jellyfish stings cases has been decreasing year by year.Conclusion Jellyfish stings should be based on prevention,and effective preventive measures can significantly reduce the incidence.The treatment should be foccured on the anaphylactic reaction and local processing in therapy and preventing the complication in order to decrease fatality rate.