中西医内外治结合治疗毒蛇咬伤120例疗效观察  

Clinical Observation on Treatment of 120 Cases of Snakebite by Combination of Chinese Medicine and Western Medicine

作　　者：王宝福[1] 刘开翔[1] 占志朋 谢席胜[1,2] 冯胜刚 

机构地区：[1]川北医学院第二临床医学院(南充市中心医院)肾脏内科,四川南充 [2]成都医学院肾脏内科,四川成都

出　　处：《中医学》2017年第4期191-198,共8页Traditional Chinese Medicine

基　　金：四川省科技厅中西医结合肾脏病防治青年科技创新研究团队项目,项目编号:2011JTD0014;四川省教育厅课题,项目编号:16ZA0240。

摘　　要：目的:回顾性总结我院120例蛇咬伤患者中西医内外结合治疗的疗效。方法:提取120例被蛇咬伤患者的年龄、性别、职业、被咬伤部位、蛇种类、齿痕、局部症状及全身症状,以及中西医内外结合治疗前后血常规、肝功能、肌酶、肾功能、电解质、凝血功能、心电图的相关数据,并进行统计学分析。结果:被蛇咬伤后可出现白细胞升高、肝酶升高、肌酶升高、尿素氮升高,血小板降低,二氧化碳结合力降低、低钾血症、低钙血症,心电图异常等表现。经治疗后患者各项指标均恢复正常。结论:毒蛇咬伤可引起多种器官功能损害,危害极大,需及时治疗。中西医内外治疗在毒蛇咬伤方面具有疗效高、不良反应少的作用。Objective: To retrospectively summarize the therapeutic effect of combined treatment of 120 cases of snake bite in China and Western Medicine. Methods: Extracting and analyzing the data of 120 patients’ age, sex, occupation, injured parts, snake species, teeth marks, local symptoms and systemic symptom, routine blood, liver, muscle enzymes, renal function, electrolyte, blood coagulation function, electrocardiogram (ECG) before and after being treated by combination of Chinese Medicine and Western Medicine. Results: Increased leukocyte, elevated liver enzyme, elevated muscle enzyme and increased urea nitrogen appeared in patients who were bitten by a snake, while reduced platelets, carbon dioxide, hypokalemia, hypocalcaemia and abnormal ECG occurred. After treatment, all the patients recovered to normal. Conclusion: Snake bites can cause multiple organ damage, and have great harm to the body, so they should be timely treated. There is high efficacy and less adverse effects treatment of snakebite by combination of Chinese Medicine and Western Medicine.

关 键 词：蛇咬伤 中西医内外治 疗效观察 

分 类 号：R2[医药卫生—中医学]