Research On Clinical Features And Treatment Strategy With Trimeresurus Stejnegeri Snakebite

objective To investigate the strategy of clinic character and emergency treatment strategy with trimeresurus stejnegeri post snakebite, to provide a more reasonable basis for clinical diagnosis and treatment.Methods Collect 55 emergency patients have been bitten by trimeresurus stejnegeri and analysis of with clinical features and treatment methods.Results Trimeresurus stejnegeri snakebite patients on the 55 cases according to locations are compared with clinical snakebite type (x2= 18.03, P <0.01), trimeresurus stejnegeri are compared with the clinical snakebite types (x2= 24.67, P<0.01) and the snakebite locations compared with trimeresurus stejnegeri (x2= 24.80, P<0.01),all differences were statistically significant, the snakebite locations and trimeresurus stejnegeri was moderately positive correlated (rs= 0.67); trimeresurus stejnegeri bitten by typing comparison of clinical hematology changes are statistically significant (both P<0.01), in which platelet (PLT), white blood cell (WBC) Comparison of various types were statistically significant (P<0.05); Light in the application of anti-venom serum or hematological recovery time was not significant (P> 0.05);Two cases were made in hospital detoxification cut import injury lay there bleeding;One case outside the hospital diagnosed as "DIC" line of heparin treatment and occurred the injury and gastrointestinal bleeding.Conclusion Trimeresurus stejnegeri Schmidt snakebite mainly in the urban garden, field to first-class place, the vast majority of clinical classification after injury for light, a small number of heavy-duty and critical type, while the trimeresurus albolabris place mainly in the deep forests of snakebite after injury and clinical typing with critical type, heavy-based, a few for light, bite location and clinical type and snake species are very different, these would provide a reference for clinical diagnosis and treatment; Trimeresurus stejnegeri snakebite induced dysfunction of blood, and even like disseminated intravascular coagulation(DIC); In addition to classification standards, the increased serum level of WBC can be used as a reference indicator for the severity; The light can temporarily not in patients with anti-venom serum and for observation, the dynamic changes observed Hematology; Prohibiting the wound incision detoxification treatment; Right type of treatment like-DIC:DIC deal with some other reasons there are very different.