Evaluation of patients with snakebite who presented to the emergency department : 132 cases
Yükleniyor...
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AMAÇ: Bu çalışmada, yılan ısırması nedeni ile acil servise getirilen hastaların klinik evreleri, gelişen komplikasyonlar, yapılan tedaviler ve sonuçları değerlendirildi.GEREÇ VE YÖNTEM: Bu amaçla acil servise yılan ısırması nedeni ile getirilen 132 olgu hastane kayıtlarından geriye dönük olarak incelendi.BULGULAR: Hastaların %42.9'u (n=57) Evre 0 düzeyindeydi. En sık görülen lokal komplikasyon ağrı (n=56; %42.4) iken sistemik komplikasyon International Normalized Ratio (INR) değerinde uzama %5.3 (n=7) idi. Lokal komplikasyonlar her evrede görülebilirken sistemik komplikasyonlar ileri evrelerde görüldü. Yılan antivenomu %46.4 (n=61) hastaya uygulandı. Altmış dokuz hasta (%52.2) hastaneye yatırılırken, 63 hasta (%47.7) acil servisteki 6-12 saatlik gözlem sonrası şifa ile taburcu edildi. Ölüm olgusu görülmedi. Olgulardan altı aylık ve bir yıllık sürede olumsuz geri bildirim alınmadı.TARTIŞMA: Yılan ısırması olgularında yılan zehirinde bulunan toksinlere göre oluşabilecek komplikasyonlar değerlendirilmeli ve uygun tedavi evre-lere göre zamanında başlanmalıdır. Bu yaklaşım komplikasyonların gelişimini engeller veya azaltır
BACKGROUND: The present objective was to evaluate clinical stages, complications, treatment modalities, and termination of treatment in patients who presented to the emergency department with snakebite.METHODS: A total of 132 snakebite cases were retrospectively examined using emergency department records.RESULTS: The majority of patients, 42.9% (n=57), had grade 0 snakebite. The local complication most frequently observed was pain (42.4%, n=56); the most common systemic complication was prolonged international normalized ratio (INR) level (5.3%, n=7). Local complications were observed in patients at all stages, while systemic complications were observed only in patients at advanced stages. Antivenom was administered in 46.4% (n=61) of patients, 52.2% (n=69) of patients were hospitalized, and 47.7% (n=63) of patients were discharged after 6-12 hours of monitoring. No negative outcome was observed during 6-month or year-long follow-up.CONCLUSION: Complications should be evaluated based on type of toxin, and appropriate treatment should be initiated efficiently, according to clinical stage. This approach reduces or prevents the development of complications
BACKGROUND: The present objective was to evaluate clinical stages, complications, treatment modalities, and termination of treatment in patients who presented to the emergency department with snakebite.METHODS: A total of 132 snakebite cases were retrospectively examined using emergency department records.RESULTS: The majority of patients, 42.9% (n=57), had grade 0 snakebite. The local complication most frequently observed was pain (42.4%, n=56); the most common systemic complication was prolonged international normalized ratio (INR) level (5.3%, n=7). Local complications were observed in patients at all stages, while systemic complications were observed only in patients at advanced stages. Antivenom was administered in 46.4% (n=61) of patients, 52.2% (n=69) of patients were hospitalized, and 47.7% (n=63) of patients were discharged after 6-12 hours of monitoring. No negative outcome was observed during 6-month or year-long follow-up.CONCLUSION: Complications should be evaluated based on type of toxin, and appropriate treatment should be initiated efficiently, according to clinical stage. This approach reduces or prevents the development of complications
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Ulusal Travma ve Acil Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
4
