Yıl: 2010 Cilt: 16 Sayı: 3 Sayfa Aralığı: 210 - 214 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Snakebites in adults from the Diyarbakır region in southeast Turkey

Öz:
AMAÇ Yılan zehiri ile zehirlenme hızlı tedavi gerektiren bir tıbbi acil durumdur. Türkiye?deki zehirli yılan sokmaları kısmi doku hasarı ve sistemik semptomlara neden olabilmektedir. Vipera ammodytes türü Türkiye?nin güneydoğusunda en zehirli olanıdır. GEREÇ VE YÖNTEM 2003 ve 2005 yılları arasında acil servisimize başvuran 79 V. ammodytes yılan sokması olgularının demografik, epidemiyolojik karakterleri, klinik belirti ve bulguları, laboratuvar bulguları, tedavileri ve sonuçları prospektif olarak incelendi, analiz edildi. BULGULAR En yaygın belirti ve bulgular diş izleri (%100), ağrı (%100), şişkinlik (%83,54), ekimoz (%92,40), taşikardi (%24,05), baş dönmesi ve bayılma (%14,52), ateş (%18,98), bölgesel lenf nodu büyümesi (%43,03), bulantı (%70,89), hipotansiyon (%21,52), kusma (%36,71) ve dispne (%3,22) idi. Ana komplikasyonlar tromboflebit, hareket kısıtlığı, lokal hemorajik bül oluşumu, cilt kanaması, rabdomiyoliz, duyu azalması, akut böbrek yetersizliği, doku kaybı ile beraber nekrozis, parmak amputasyonu, karpal tunel sendromu ve kompartman sendromu idi. SONUÇ Bir V. ammodytes ısırığı acil hastane bakımı gerektiren ciddi bir durumdur. Olguların çoğu konservatif yöntemlerle başarılı bir şekilde tedavi edilebilir. Serimizde ölüm meydana gelmemiştir.
Anahtar Kelime:

Konular: Cerrahi

Türkiye'nin güneydoğusunda Diyarbakır ve çevresinde erişkinlerde yılan ısırıkları

Öz:
BACKGROUND Snake venom poisoning is a medical emergency requiring immediate attention. Bites from poisonous Turkish snakes can lead to local tissue damage and systemic symptoms. The Vipera ammodytes species accounts for the majority of envenomation in southeast Turkey. METHODS The demographic and epidemiological characteristics, clinical symptoms and signs, laboratory findings, treatment, and outcome of 79 consecutive victims of V. ammodytes poisoning admitted to our hospital from 2003 to 2005 were reviewed and analyzed prospectively. RESULTS The most common symptoms and signs included fang marks (100%), pain (100%), swelling (83.5%), ecchymosis (92.4%), tachycardia (24.1%), fainting or dizziness (14.5%), fever (19.0%), enlargement of regional lymph nodes (43.0%), nausea (70.9%), hypotension (21.5%), vomiting (36.7%), and dyspnea (3.2%). The main complications were thrombophlebitis, reduced range of motion, local hemorrhagic blister formation, bleeding from skin, rhabdomyolysis, reduced sensation, acute renal failure, necrosis with tissue loss, digit amputation, carpal tunnel syndrome, and compartment syndrome. CONCLUSION A V. ammodytes bite is a potentially serious event that requires immediate hospital care. Nevertheless, the majority of victims can be treated successfully with conservative methods. No deaths occurred in our series.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA AL B, ORAK M, ALDEMİR M, GÜLOĞLU C (2010). Snakebites in adults from the Diyarbakır region in southeast Turkey. , 210 - 214.
Chicago AL Behçet,ORAK MURAT,ALDEMİR Murat,GÜLOĞLU Cahfer Snakebites in adults from the Diyarbakır region in southeast Turkey. (2010): 210 - 214.
MLA AL Behçet,ORAK MURAT,ALDEMİR Murat,GÜLOĞLU Cahfer Snakebites in adults from the Diyarbakır region in southeast Turkey. , 2010, ss.210 - 214.
AMA AL B,ORAK M,ALDEMİR M,GÜLOĞLU C Snakebites in adults from the Diyarbakır region in southeast Turkey. . 2010; 210 - 214.
Vancouver AL B,ORAK M,ALDEMİR M,GÜLOĞLU C Snakebites in adults from the Diyarbakır region in southeast Turkey. . 2010; 210 - 214.
IEEE AL B,ORAK M,ALDEMİR M,GÜLOĞLU C "Snakebites in adults from the Diyarbakır region in southeast Turkey." , ss.210 - 214, 2010.
ISNAD AL, Behçet vd. "Snakebites in adults from the Diyarbakır region in southeast Turkey". (2010), 210-214.
APA AL B, ORAK M, ALDEMİR M, GÜLOĞLU C (2010). Snakebites in adults from the Diyarbakır region in southeast Turkey. Ulusal Travma ve Acil Cerrahi Dergisi, 16(3), 210 - 214.
Chicago AL Behçet,ORAK MURAT,ALDEMİR Murat,GÜLOĞLU Cahfer Snakebites in adults from the Diyarbakır region in southeast Turkey. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.3 (2010): 210 - 214.
MLA AL Behçet,ORAK MURAT,ALDEMİR Murat,GÜLOĞLU Cahfer Snakebites in adults from the Diyarbakır region in southeast Turkey. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.3, 2010, ss.210 - 214.
AMA AL B,ORAK M,ALDEMİR M,GÜLOĞLU C Snakebites in adults from the Diyarbakır region in southeast Turkey. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(3): 210 - 214.
Vancouver AL B,ORAK M,ALDEMİR M,GÜLOĞLU C Snakebites in adults from the Diyarbakır region in southeast Turkey. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(3): 210 - 214.
IEEE AL B,ORAK M,ALDEMİR M,GÜLOĞLU C "Snakebites in adults from the Diyarbakır region in southeast Turkey." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.210 - 214, 2010.
ISNAD AL, Behçet vd. "Snakebites in adults from the Diyarbakır region in southeast Turkey". Ulusal Travma ve Acil Cerrahi Dergisi 16/3 (2010), 210-214.