院前程序化急救方案在毒蛇咬伤治疗中的应用价值
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摘要
目的:对毒蛇咬伤患者治疗中院前程序化急救方案的应用效果进行分析。方法:选取笔者所在医院2016年2月-2017年2月收治的毒蛇咬伤患者68例做回顾性分析,均采用院前程序化急救方案,观察所有患者治疗效果。结果:治疗后,痊愈63例,好转2例,通过症状观察与患者主诉,临床症状均完全消失或明显缓解,治疗有效率95.59%;另外2例自行出院,1例因就诊不及时死亡。结论:毒蛇咬伤患者治疗中,院前程序化急救方案应用下,对提高患者治疗效果可发挥重要作用,应在临床实践中推广应用。
Objective:To analyze the application effect of the prehospital procedural emergency program for the patients with snakebite.Method:From February 2016 to February 2017,68 cases of snakebite treated by hospital were selected for retrospective analysis,and all patients were treated with prehospital procedural emergency program,observed the treatment effect.Result:After treatment,63 cases were cured,2 cases improved.Through the observation of the symptom and the patient's complaints,the clinical symptoms disappeared completely or significantly alleviate,the treatment effectiveness was 95.59%;the other 2 patients were discharged on their own,1 died due to the failure of treatment.Conclusion:In the treatment of the patients with snakebite,the prehospital procedural emergency program can play an important role in improving the therapeutic effect of patients,and should be popularized in clinical practice.
Objective:To analyze the application effect of the prehospital procedural emergency program for the patients with snakebite.Method:From February 2016 to February 2017,68 cases of snakebite treated by hospital were selected for retrospective analysis,and all patients were treated with prehospital procedural emergency program,observed the treatment effect.Result:After treatment,63 cases were cured,2 cases improved.Through the observation of the symptom and the patient's complaints,the clinical symptoms disappeared completely or significantly alleviate,the treatment effectiveness was 95.59%;the other 2 patients were discharged on their own,1 died due to the failure of treatment.Conclusion:In the treatment of the patients with snakebite,the prehospital procedural emergency program can play an important role in improving the therapeutic effect of patients,and should be popularized in clinical practice.
引文
[1]周润萍,李惠英.81例毒蛇咬伤患者的急救与护理[J].当代护士:下旬刊,2014,22(12):98-99.
[2]黄爱清,许春红.基层医院毒蛇咬伤院前急救与护理体会[J].右江医学,2012,40(2):288-289.
[3]刘晓东,张炎安,张玉雄,等.毒蛇咬伤患者院前早期程序化急救处理方案的应用观察[J].蛇志,2012,24(3):260-261,270.
[4]林秋娥,胡赛贞,刘晓东,等.毒蛇咬伤患者院前程序化急救与护理[J].蛇志,2012,24(4):418-419.
[5]郭伟文,唐荣德,张跃,等.血清无机离子在毒蛇咬伤治疗前后的变化规律[J].黑龙江医学,2017,41(4):344-347.
[6]钟桂年,罗朝汉,吴登锋,等.综合性治疗毒蛇咬伤的临床疗效分析[J].湖北科技学院学报:医学版,2017,31(1):33-35.
[7]曾凡杰,陈聪,张雷,等.小切口负压治疗对毒蛇咬伤后肢体肿胀及炎症反应的影响[J].第三军医大学学报,2017,39(3):271-275.
[8]梁剑宁,唐荣德,张跃,等.毒蛇咬伤治疗前后肾功能变化规律的探讨[J].黑龙江医学,2015,39(5):484-488.
[9]张琦,于庆生,王景祥,等.解毒通腑汤治疗毒蛇咬伤肢体肿胀的临床研究[J].现代中医临床,2014,21(5):23-27.
[10]丁希平,于庆生,张琦,等.中西医内外治结合治疗毒蛇咬伤68例[J].中医药临床杂志,2013,25(6):514-516.
[11]傅远法,刘祥,姜亦弢.毒蛇咬伤的全程急救及治疗[J].浙江创伤外科,2012,17(2):202-203.
[12]廖汪洋,刘琼.连续性肾脏替代治疗毒蛇咬伤致多器官功能障碍的临床研究[J].重庆医学,2011,40(32):3280-3282.
[2]黄爱清,许春红.基层医院毒蛇咬伤院前急救与护理体会[J].右江医学,2012,40(2):288-289.
[3]刘晓东,张炎安,张玉雄,等.毒蛇咬伤患者院前早期程序化急救处理方案的应用观察[J].蛇志,2012,24(3):260-261,270.
[4]林秋娥,胡赛贞,刘晓东,等.毒蛇咬伤患者院前程序化急救与护理[J].蛇志,2012,24(4):418-419.
[5]郭伟文,唐荣德,张跃,等.血清无机离子在毒蛇咬伤治疗前后的变化规律[J].黑龙江医学,2017,41(4):344-347.
[6]钟桂年,罗朝汉,吴登锋,等.综合性治疗毒蛇咬伤的临床疗效分析[J].湖北科技学院学报:医学版,2017,31(1):33-35.
[7]曾凡杰,陈聪,张雷,等.小切口负压治疗对毒蛇咬伤后肢体肿胀及炎症反应的影响[J].第三军医大学学报,2017,39(3):271-275.
[8]梁剑宁,唐荣德,张跃,等.毒蛇咬伤治疗前后肾功能变化规律的探讨[J].黑龙江医学,2015,39(5):484-488.
[9]张琦,于庆生,王景祥,等.解毒通腑汤治疗毒蛇咬伤肢体肿胀的临床研究[J].现代中医临床,2014,21(5):23-27.
[10]丁希平,于庆生,张琦,等.中西医内外治结合治疗毒蛇咬伤68例[J].中医药临床杂志,2013,25(6):514-516.
[11]傅远法,刘祥,姜亦弢.毒蛇咬伤的全程急救及治疗[J].浙江创伤外科,2012,17(2):202-203.
[12]廖汪洋,刘琼.连续性肾脏替代治疗毒蛇咬伤致多器官功能障碍的临床研究[J].重庆医学,2011,40(32):3280-3282.