電子期刊 |
ISSN:1684-193X
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Updated
August 2004
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Contents:
Volume 2, Supplement 2; April, 2004 |
Snake Bites |
Jiann-Ruey Ong, MD; Hon-Ping Ma, MD; Tzong-Luen Wang, MD, PhD |
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Abstract ---Snakebites are not uncommon in Taiwan. There are 23 venomous snake with 6 most common
encountered here. Annual report of snakebites is about 300~600 with mortality of 10~20.
Traditional classification of venom by hematoxin or neurotoxin is still useful in initial clinical management.
Severe envenomation occurred in less than 5%. First aids in the field and prompt deliver to nearest
capable facilities for medical care or administration of antivenom greatly reduce the morbidity and
mortality. History of exposure, local effect and systemic syndromes of envenomation, progression
of symptoms and signs, laboratory data obtained in emergency department should guide the
decision for antivenom therapy. Coagulopathy with shock and respiratory failure is the main complications.
Aggressive supportive treatment for possible complications of snakebites and allergic reaction of
antivenom therapy is the mainstay of
management.
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Key words---Snakebites; Antivenom; Critical Care |
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