독사 교상의 분석

Abstract

A total of 107 patients was treated in the Departmant of Dongsan Hospital, Keimyung University during the period between January of 1984 and December of 1987. The majority (72 patient) was in the 5th, 6th, 7th, and 8th decades comprising 67% of the total patients. Male patients outnumbered female with the ratio of 1.45: 1. Forty-eight patients (45%) were farmers. Snakebites occured most frequently during the summer season which is usually the months of June, July, and August. The interval between the time of snakebite and the arrival of patients to the hospital was 12 to 24 hours in 26 patients (24%) and 1 to 2 hours in 18 patients (16.8%). The duration of hospitalization was 1 to 5 days in 76 patients (71%) and the longest period of hospitalization was 22 days in Grade 3 patients. The affected part of the body was the right foot in 31 patients (29%), the right hand in 27 patients (25.2%), the left hand in 16 patients (15%), and the left foot in 2 patients (1.9%). According to the classification of Ward and Parrish, 79 patients (73.8) were in Grade 2 and 21 patients (19.6%) were in Grade 1. Skin necrosis was the most common and was seen is six patients. Two patients were lost from acute failure.