ĐẶC ĐIỂM LÂM SÀNG TỔN THƯƠNG TẠI CHỖ DO RẮN HỔ MANG CẮN

Abstract

Objective: Describing the clinical anatomical characteristics of soft tissue damage caused by cobra bites. Subject and methods: A cross-sectional descriptive study performed on 65 patients with local injuries due to cobra bites at the Department of Plastic and Reconstructive Surgery of Bach Mai Hospital from January 2021 to November 2021. Results: Most of patients were at working age and male patients outnumbering female patients. The most common bite sites were at the fingers and dorsum of the foot. The trauma caused swelling, skin necrosis at the puncture site, and subcutaneous fat necrosis in the surrounding area. From the wound center, necrosis can spread to the tendons of the hand and foot or to the bone of fingers. The tissue damage caused by a cobra bite can be localized in the same anatomical unit or spread to adjacent anatomical units, toward the center. Conclussion: The clinical morphology of local soft tissue lesions caused by a cobra bites is varied. Correct assessment of the extent and nature of the injury plays a crucial role in formulating an effective treatment plan.