【摘要】 [目的]探讨妊娠期毒蛇咬伤的处理与母婴预后。[方法]6例妊娠期毒蛇咬伤患者均采用抗蛇毒血清和抗生素治疗。[结果]6例毒蛇咬伤孕妇均无临床并发症并治愈出院,其中5例妊娠晚期毒蛇咬伤剖宫产患者,母婴预后良好,1例中孕患者因担忧蛇毒及药物对胎儿的影响而终止妊娠。[结论]妊娠期毒蛇咬伤母婴预后与患者孕期、就诊时间及医务人员处理相关。
【关键词】 毒蛇咬伤;蛇毒血清;抗生素;妊娠期;母婴安全
Abstract:[Purpose]This article examines treatment and prognosis of pregnant women bite by snake.[Method]6 cases got early treatment with effective snake antivenins and antibiotics.[Results]6 cases got clinical cure,the prognosis of mother and newborn baby was good in 5 cases with late pregnancy bite by snake who underwent caesarean operation, 1 case of second trimester pregnancy induced of labor because of worry about the snake venom and drug damaging baby.[Conclusion]The prognosis of infants and mother with snake bite is related with pregnancy, medication time and treatment.
Key words:snakebite;snake toxin;serum;antibiotics;pregnancy;safety of mother and baby
妊娠期毒蛇咬伤是妊娠期外来伤害特有的疾病,具有临床特殊性,蛇毒进入人体后直接或间接地危及母婴生命,处理不当可严重影响母婴预后。现将6例妊娠期毒蛇咬伤患者的临床资料,分析报道如下。
1 资料与方法
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