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독사 교상 환자에서 전신 증상 및 합병증 발생에 연관된 인자에 대한 연구

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Author(s)
진상찬이제원양승준주명돈최우익
Keimyung Author(s)
Jin, Sang ChanChoi, Woo Ik
Department
Dept. of Emergency Medicine (응급의학)
Journal Title
대한응급의학회지
Issued Date
2008
Volume
19
Issue
6
Abstract
Purpose: Venomous snakebite is an important medical
emergency in Korea, but the factors affecting outcomes are
unclear.
Methods: We conducted an 8-year retrospective study of
169 snake bite patients who visited the emergency departments
of Keimyung University at Dongsan Medical Center
between January, 2000, and December, 2007. Patients
were divided by systemic symptoms and complications
(group 1) or local symptoms only (group 2). We compared
the general characteristics and clinical and laboratory findings
of the two groups.
Results: The male to female ratio was 1.19. The most
common systemic symptom was dizziness (7.6%), and the
most common complication was rhabdomyolysis (23.6%).
Distal bite sites (finger, toe) in group 1 occurred in 20
(35.7%) cases, and proximal (hand, foot, ankle, arm, calf,
perianal area) in 36 (64.3%) cases (p<0.05). The median
interval from envenomation to hospital visit was 6.0 (0.3-
96.0) h in group 1, which was longer than group 2
(p<0.05). Among 33 (19.5%) patients with local effect
scores of 9~16, 25 (75.8%) patients had systemic symptoms
and complications. The local effect scores and the
interval from bite to antivenin treatment in the hospital were
significant risk factors for systemic symptoms and complications in logistic regression analysis.
Conclusion: Snakebite poisoning is an emergency and we must evaluate risk factors to prevent the development of serious complications.
Alternative Title
Consideration of Factors associated with Complications and Systemic Symptoms of Snake Bites
Keimyung Author(s)(Kor)
진상찬
최우익
Publisher
School of Medicine
Citation
진상찬 et al. (2008). 독사 교상 환자에서 전신 증상 및 합병증 발생에 연관된 인자에 대한 연구. 대한응급의학회지, 19(6), 686–696.
Type
Article
ISSN
1226-4334
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38257
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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