ĐẶC ĐIỂM DỊCH TỄ HỌC VÀ TÌNH HÌNH SƠ CỨU BAN ĐẦU Ở BỆNH NHI BỊ RẮN CHÀM QUẠP CẮN TẠI BỆNH VIỆN NHI ĐỒNG 1

Abstract

Objectives: To describe the epidemiological characteristics and study of first aid children with malayan pit viper bites. Methods: Descriptive study was conducted on 54 medical records of children with snake bites hospitalized in Children Hospital 1 from 01/01/2011 to 31/12/2020. Results: the average age is 8.5 years old (2 years old - 15 years old), 6 years old and above accounted for 68.5%. The proportion of male and female is 1.8/1. Accidents occur year-round especially during the rainy months of 66.8% from May to November, 77.8% are bitten between 12 hours and 24 hours. Binh Phuoc is the province which has the most Malayan pit viper bites hospitalized (29.6%). 53.7% of the children were biten around and inside houses. The majority accidentally bit 96.3%, 57.4% of the cases brought the viper. More than 70% of the bites were in the legs, especially 61.1% of the feet. 72.2% of first aid cases were incorrect (common are used garrot, skin incision, venom attracting, drug laying ...). 77.7% of hospitalizations in 24 hours after bite. Conclusions: Patients who have a charlatan have a 3.2 times higher incidence of severe intoxication (KTC 95%: 1.4-7.5), statistically significant difference, p = 0.002. The later the hospitalization time, the higher the incidence of severe intoxication, which is statistically significant with a p < 0.001.