بررسي يك صد مورد مارگزيدگي در بيمارستان لقمان حكيم از سال 1379 تا 1384

Reporting A Series of 100 Cases of Snake Bites in Loghman Hospital between 2000-2005

Background: snake bite is one of the important medical emergencies and can potentially cause a high mortality rate amongst afflicted patients. Diagnosis of snake bite is often easy but there are several different approaches for its managements. This study was performed to determine epidemiologic aspects, clinical manifestations and management of snake bite. Materials and Methods: In this study 100 cases of snake bite referring to Loghman Hospital were evaluated. Age, sex, job, time of being bitten, site of injury, clinical manifestation and medical or/and surgical management was evaluated. Results: In our study 86% of cases were men and 14% were women. About 60% was between the range of 10-29 years old. The most common occupation among snake bitten patients was farming. Time of injury was evening in 53% and the site of bite was hand and foot in more than 80%. Clinical manifestations were pain, nausea, vomiting, headache, bleeding echymosis and fever. Managements were Tetabulin, Tetanus vaccine, antibiotics, antivenom, FFP and fasciotomy. Conclusion: By appropriate management of snake bite, mortality and morbidity can be curbed to its minimum.