THE STUDY WAS TO EVALUATE THE EFFCTIVENESS OF USING ANTIVENOM SERUM IN PATENTS BITTEN BY COBRAS AT THE NGHE AN GENERAL HOSPITAL
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Abstract
Venomous snakebite is a common medical emergency in our country and around the world, people bitten by snakes have a high mortality rate and severe sequelae. Venomous snakes are classified into different families, genera, and species, each of which causes different poisoning conditions. Specific treatment with antivenom is the best course of action as recommended by the literature. Objective: The objective of the study was to evaluate the effectiveness of using antivenom serum in patients bitten by cobra at Nghe An General Hospital. Subjects and methods: A prospective, cross-sectional study of 30 patients bitten by a cobra from January 2021 to September 2021. Result: The average area of necrosis decreased from 12.3 cm2 to 11.5 cm2 (p<0.05). Distant spread of edema tends to decrease after treatment with antivenom. Pain score decreased from 6.88 before treatment to 4.28 after treatment. The degree of rhabdomyolysis, CK decreased from 1023.7 to 802.3 (p<0.05). Conclusion: Anti-venom serum reduces the area of necrosis, reduces local pain and reduces CK enzymes in patient bitten by cobras
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Keywords
Cobra, Anti-venom serum, Naja.astra
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