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银环蛇咬伤呼吸停止的抢救及13例临床分析
EMERGENT TREATMENT OF RESPIRATION ARREST BY SNAKEBITE OF CHINESE KRMT(BUNGARUS MULTICINCTUS BLYTH).——AN ANALYSIS OK ARTIFICIAL RESPIRATION IN 13 CASES.
【摘要】 <正> 银环蛇咬伤引起呼吸麻痺是导致死亡的主要原因。华南地区蛇伤以银环蛇的死亡率最高。近年来我们收治13例呼吸停止病人,现将抢救情况分析如下: 本组13例均为男性,年龄最小为九岁。咬伤至就诊时间最短为20分钟,最长为10小时,平均就诊时间为4小时48分。证实系银环蛇咬伤的12例中咬伤至呼吸停止时间最短为3小时,最长为28小时,平均为10小时1分。 临床表现 (一)局部表现:麻木13例(100%),不红12例(92.3%),不肿10例(76.9%);不痛7例(53.8%);微痒8例(61.5%)。 (二)全身表现:乏力9例(69.2%),张口及吞咽困难、流涎、眼脸下垂、发绀、呼吸停止、对光消失各13例(100%);说话不清、嗜睡各10例(76.9%);眼球固定、瞳孔散大各11例(84.6%);
【Abstract】 In recent years the authors authors treated 13 cases of respiration arrest of snakebite by Chinese krait. 11 cases was cured with . eiiicient artitieial respiration by early intubation before the cease of automatic respiration .The cure rate was 84.6%. The shortest duration of the patient from the arrest to the automatic re-respiration was 10 hours and 45 minutes, the longest was of 864 hours, and at the meantime the cease oi automatic respiration was 228 hours.
- 【文献出处】 动物学研究 ,Zoological Research , 编辑部邮箱 ,1981年S1期
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