CLINICAL AND SUBCLINICAL CHARACTERISTICS OF CHILDREN  BITTEN BY SNAKES AT BACH MAI HOSPITAL

Lê Việt Mỹ; Phạm Văn Đếm; Nguyễn Hữu Hiếu

doi:10.34238/tnu-jst.8950

CLINICAL AND SUBCLINICAL CHARACTERISTICS OF CHILDREN BITTEN BY SNAKES AT BACH MAI HOSPITAL

About this article

Received: 09/10/23 Revised: 14/11/23 Published: 15/11/23

Authors

1. Le Viet My , TNU - University of Medicine and Pharmacy
2. Pham Van Dem, Vietnam National University
3. Nguyen Huu Hieu, Bach Mai Hospital

Abstract

This study aimed to describe clinical, and subclinical characteristics in chlidren at Bach Mai Hospital. Method of cross-sectional descriptive was used to study on 163 children who were bitten by snakes hospitalized at the Pediatrics Department of Bach Mai Hospital from 6/2018 - 6/2023. The results showed that: The age of most bitten group was 6 - 10 years old (48.5%), primarily male (71.2%), most children live in rural areas (69.3%), mainly from April to September (77.3%), rainy season months. Accidents occurred in and around the home (65%), and most bites were on the feet (52.8%). Clinical characteristics: Local symptoms include: local pain (84%), swelling (70.6%), bruising (54%), toxic hook marks (27.6%), blister (22.1%), necrosis (10.4%), and infection (11%). Symptoms hemorrhage: bite bleeding (26.4%), skin hemorrhage (17.2%), bleeding gums (1.8%), gastrointestinal bleeding (1.8%). Less common symtoms were vomiting (12.3%) and fever (11.7%). There were (36.81%) moderate or higher poisoning, of which (7.4%) were severely poisoned. Subclinical characteristics: Increasing neutrophil acounts for (37.4%), platelet reduction <150 T/L (11.7%), increase GOT (1.2%), increase GPT (1.2%). Blood clot disorder is only manifestation group of posion snakes: prolonged PT (34.4%), prolonged APTT (17.8%), of which DIC (12.9%).

Keywords

Snakebite; Hemorrhage; Necrosis; Poison snakes; Bach Mai Hospital

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DOI: https://doi.org/10.34238/tnu-jst.8950

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