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Epidemiological investigation of 716 venomous snake bitesin Zunyi Guizhou province |
Wang Song, Yang Guang, An Yu-ling, Lin Kai, Yu An-yong |
Department of Emergency, the Affiliated Hospital of Zunyi Medical University, Zunyi 563003, China |
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Abstract Objective To analyze the epidemiological characteristics of snakebite in Zunyi, Guizhou province, which could improve the prevention and treatment of venomoussnakebite. Methods A total of 716 hospitalized patients (male: female 1.65∶1.00) from April 2013 to October 2018 were reviewedin terms of gender, age, culprit snake species, bite time, bite site and severity scores. Results The culprit snake species was Agkistrodonhalys in 542 cases (75.70%), Agkistrodonhalysin 123 cases(17.18%), Trimeresurusstejnegeriin 35 cases (4.89%) and unidentified species in 16 cases (2.23%). The age of patients ranged from 2 to 86 years. The majority of patients (44.13%) got snakebite during the age of 40 to 59 year-old, and 27.23% at the age of 60 year-old. Most snake bites happened during April to October, especially in period of June to September (73.32%). In the whole day, biting time was 18:00~23:59 (35.62%), 6:00~11:59 (27.65%), 12:00~17:59 (20.81%), 0:00~5:59 (15.92%). The lowerlimbs were the main involving sites (67.46%), followed by theupperlimbs (31.42%). The main severity is moderate to severe. Conclusion Based on regional epidemiological characteristics, it is helpful to reduce fatal complications of snake bite that improvement of patients′ awareness of prevention, treatment and avoidance of unnecessary management.
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Corresponding Authors:
Yu An-yong, E-mail: anyongyu@163.com
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