MANAGEMENT OF POISONOUS SNAKE BITES IN SOUTHERN TAIWAN

摘要: Snake bite envenomation is not uncommon in Taiwan. This study focuses on the pattern of poisonous snake bites and their management southern Taiwan over a 5-year period. The case histories 37 patients with admitted to Kaohsiung Medical University Hospital between June 2001 July 2005 were analyzed retrospectively. Three patients, bitten by unknown species venomous snakes, excluded from this study. frequency each snake, local systemic manifestations bite, treatment complications final outcomes analyzed. Of remaining 34 11 (32.4%) bamboo vipers, 10 (29.4%) Russell's pit 8 (23.5%) cobras 5 (14.7%) Habu. majority (28) occurred May November. Those affected mainly outdoor hikers (14) workers (9). antivenin requirements for emergency room accordance standard procedures. No mortality was noted among those envenomed snakes. Although common life-threatening area, we observed both an environmental risk seasonal incidence bite. Keeping varied clinical mind important effective management. Ready availability appropriate use antivenin, close monitoring institution ventilatory support early referral larger hospital when required, all help reduce mortality.