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Epidemiological and clinical profile of snakebite patients: a retrospective analysis at a tertiary care teaching hospital of southern Rajasthan, India

机译:蛇咬患者的流行病学和临床剖面:印度南部教学院的追溯分析

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Background: Snakebite - a global public health problem can be a traumatic experience for patients. They may develop local pain and swelling at the site with or without systemic involvement (haematological and neurological) and at times complications depending upon nature of snake. The present study was planned to determine the epidemiological and clinical profile of snakebite patients at a tertiary care teaching hospital of southern Rajasthan, India. Methods: This retrospective observational study was carried out at a tertiary care teaching hospital only after approval from institutional ethics committee. The data of patients aged between 18-80 years of either gender that had presented with a history of snakebite and admitted to the intensive care unit (ICU) in past 3 years were included. Data related to epidemiological, clinical and investigational parameters was collected and analysed. Data was presented as number (percentage) or mean ± standard deviation. Results: Total 80 patients were analyzed. Male:female ratio was 1.67:1 and mean age of study population was 33.91±14.34 years. Maximum 71 (89%) patients belonged to rural region. Only 16 (20%) patients complained of local pain. Bleeding was noted in 5 (6.25%) patients whereas 36 (45%) patients had ptosis. Prolonged coagulation markers were reported in 35 (44%) patients. Only 2 (2.5%) patients had acute kidney injury. Altered liver and renal function tests were noted in 71 (89%) and 63 (79%) patients respectively. Mechanical ventilation was required in 27 (34%) patients. Conclusions: Young adult males and rural population were prone to snakebites. Local and systemic manifestations were noted in relatively lesser patients compared to the published data. Only fewer patients in I.C.U. required mechanical ventilation.
机译:背景:SnakeBite - 全球公共卫生问题可以是患者的创伤体验。他们可能在有或没有全身的参与(血液神经和神经)的情况下,在网站上和肿胀肿胀,并且在蛇的性质上有时并发症。计划确定本研究确定印度南部拉贾斯坦高等教育教学医院的蛇咬患者的流行病学和临床剖面。方法:此回顾性观察研究仅在机构伦理委员会批准后在大专院校教学医院进行。包括在过去3年内介绍了蛇咬历史并录取的性别历史上的两性患者的患者的数据包括在内。收集和分析了与流行病学,临床和调查参数有关的数据。数据显示为数字(百分比)或平均值±标准偏差。结果:分析了80例患者。男性:女性比例为1.67:1,平均学习人群年龄为33.91±14.34岁。最多71名(89%)患者属于农村地区。只有16名(20%)患者抱怨局部疼痛。 5(6.25%)患者中指出出血,而36例(45%)患者患有皮特分。报告35例(44%)患者报告了长期的凝血标志物。只有2(2.5%)患者患有急性肾损伤。 71(89%)和63名(79%)患者分别注意到肝脏和肾功能试验。在27例(34%)患者中需要机械通风。结论:年轻成年男性和农村人口易于蛇咬伤。与已发表的数据相比,在相对较低的患者中,注意到局部和系统性表现。 I.u.u的患者才少。所需的机械通风。

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