台州市蛇咬伤流行病学与蛇类分布的调查研究  

Investigation on Snake Bite Epidemics and Snakes Distribution in Taizhou City

作　　者：王永高[1] 金礼通[1] 曹朝梁 黄永祥[1] 郑伶燕 吴立群[1] 李玉平[1] 谢杰[1] 

机构地区：[1]浙江省台州市中心医院,台州318000

出　　处：《浙江中医药大学学报》2011年第3期370-372,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]分析台州市蛇咬伤的发病情况,调查蛇伤与蛇类分布的关系,用于指导对毒蛇伤害的预防和治疗。[方法]对近3年台州市中心医院急诊科实施蛇伤程序化救治流程的152例患者资料进行回顾总结。[结果]台州市蛇伤分类:蝮蛇36.8%、眼镜蛇23.0%、五步蛇13.2%占多数,不明蛇7.2%,游蛇科13.8%,无毒蛇8.6%;蛇伤发生率大致分为高发、偶发、少见、无地域分布等四类,蛇咬伤多发生在中部平原和南部山区;蛇咬伤集中发生夏秋季(5~10月份),其中6、7月份为高发期,占55.3%;常见的局部症状为疼痛90.8%、肿胀84.9%,常见的全身症状为神经系统功能异常14.5%、心功能异常13.8%、凝血系统异常12.5%,轻型77.0%、重型17.1%、危重型5.9%。[结论]台州市为蛇咬伤高发区,有季节性、地域性、游蛇伤人现象高发等流行病学特点,建立台州市蛇类资源的生态分布,有针对性地进行预防和治疗,能降低蛇伤危害性。[Objective] To observe the snake bite condition in Taizhou City,as well as the relation between snake bite and snakes distribution,for prevention and treatment of viper bite.[Method] Make summary on 152 cases of snake bite in Taizhou central hospital.[Result] Types： adder 36.8%,glass snake 23.0%,five-step snake 13.2%,unknown snake 7.2%,colubridae 13.8% and innocua 8.6%;it often happens in neutral plain and southern mountainous area in May^Oct.[Conclusion] Taizhou has high rate of snake bite,with epidemic features of season,region,high ratio of colubridae bite;to set up snake ecological distribution and correspondingly prevent and treat can reduce snake harm.

关 键 词：蛇咬伤 蛇种 流行病学 

分 类 号：R751.05[医药卫生—皮肤病学与性病学]