蛇伤现场急救方法探讨  

On the first-aid method of snakebite

作　　者：刘诗怡[1] 刘永瑞[1] LIU Shiyi;LIU Yongrui(Department of Emergency Medicine,First Affiliated Hospital,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一附属医院急诊科,广东广州510405

出　　处：《医学争鸣》2020年第2期69-72,共4页Negative

基　　金：广东省中医药管理局科研课题(20181099)。

摘　　要：蛇伤是我国常见疾病,及时正确的现场急救对于改善蛇伤患者的预后具有重要意义。我国目前权威教材和专家共识对其尚无统一规范。本文通过对比分析国内外指南和文献,结合笔者经验,认为蛇伤的现场急救应禁止推荐以止血带、布条、绳索等进行绑扎和使用草药;禁止推荐拔罐和吮吸毒液;禁止推荐将杀死蛇。应突出强调尽快将伤者安全送往医院的要求。Snakebite is common in China.Timely and correct first-aid is of great significance to improve the prognosis of snakebite patients.At present,there is no uniform standard of its first-aid in authoritative textbooks and expert consensus in China.Based on the comparative analysis of guidelines and literatures at home and abroad,and combined with the author’s experience,this paper holds that sending the casualty to hospital safely as soon as possible should be emphasized rather than binding by tourniquet,cloth or rope,cupping and sucking of poison liquid and even killing snakes,which all should be forbidden.

关 键 词：蛇伤 现场急救 规范治疗 

分 类 号：R459.7[医药卫生—急诊医学]