NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN BỊ RẮN LỤC TRE CẮN TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Methods: Trimesurus Albolabris snakebite cause a variety of diseases, some local symptoms are very mild but the whole body is very severe, many cases fall into disseminated intravascular coagulation and death due to cerebral bleeding. Objective: Determination of clinical and subclinical characteristics in patients bitten by Trimesurus Albolabris at Nghe An General Hospital. Subjects and methods: A prospective, cross-sectional study on 38 Trimesurus Albolabris biting patients from 08/2021 to 08/2022. Result: Trimesurus Albolabris bites cause pain at the bite and have 100% venomous hooks; swelling 55.3%; bleeding 31.6%; bullae 7.9% and necrosis at the bite site 5.3%. Fibrinogen decreased 73.7%; Decrease in platelet count by 26.3%; PT lasts 23.7%; increased INR 26.3%; aPTT lasted 5.3%. Conclusion: Clinical symptoms of Trimesurus Albolabris bite causing pain at the bite site, swelling, bleeding; Clinical findings include decreased platelet count, increased clotting time and most commonly, decreased fibrinogen values.