Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Alagöz, Fatih; Ozhasenekler, Ayhan; GÖKHAN, Şervan; MÜGE SÖNMEZ, Bedriye Müge; yilmaz, fevzi; kavalci, cemil; Akbulut, Sami; Yılmaz, Muhittin Serkan

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Bedriye Müge MÜGE SÖNMEZ, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye)

Fevzi YILMAZ, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye)

Muhittin Serkan YILMAZ, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye)

Cemil KAVALCI, (Başkent Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye)

Şervan GÖKHAN, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye)

Ahmet Sami AKBULUT, (Diyarbakır Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Diyarbakır, Türkiye)

Ayhan ÖZHASENEKLER, (Dicle Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Diyarbakır, Türkiye)

Fatih ALAGÖZ (Ankara Numune Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Ankara, Türkiye)

Journal of Clinical and Analytical Medicine

1 0

Yıl: 2015 Cilt: 6 Sayı: 5 Sayfa Aralığı: 558 - 561 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Öz:

Amaç: Acil servise başvuran yılan sokmalarının epidemiyolojik özellikleri ve yönetiminin değerlendirilmesi. Gereç ve Yöntem: Bu çalışmada 2008-2009 yılları arasında Diyarbakır Eğitim ve Araştırma Hastanesi Acil Servisi'ne başvuran 74 vaka retrospektif olarak değerlendirildi. Bulgular: Hastaların 46'sı (%62.2) erkek ve 28'i (%37.8) kadındı. Çalışmaya alınan hastaların yaş ortalaması 34.85±19.17 (min 7- mak 80) yaştı. Yılan sokmalarının çoğu 18.0006.00 saatleri arasında ve evde (%73) meydana gelmişti. %79.7'si üst ekstremitelerdeydi. Vakaların %93'üne tek doz intravenöz antivenin uygulandı. Hastaların hiçbirinin tekrarlayan antivenin uygulamasına ihtiyacı olmadı. Tartışma: Yılan sokmaları özellikle kırsal alanda hala büyük bir halk sağlığı sorunudur. Acil servis doktorlarının yılan sokmalarına multidisipliner yaklaşımı bilmeleri gerekmektedir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Acil Tıp Sağlık Bilimleri ve Hizmetleri Pediatri

Acil Servise Başvuran Yılan Sokmalarının Klinik Özellikleri ve Acil Yönetimi

Öz:

Aim: Evaluating the epidemiologic characteristics and management of snake bites presenting to emergency departments. Material and Method: In this retrospective study 74 cases of snakebites admitted to Emergency Department of Diyarbakır Training and Research Hospital between 2008 and 2009 were retrospectively evaluated. Results: Fourty-six (62.2%) of patients were male and 28 (37.8%) were female. Mean age of the study population was 34.85±19.17 (min 7- max 80) years. Most of the snakebites occurred between 18.00 to 06.00 hours and at home (73%). 79.7% of snake bites occurred to upper extremities. %93 of cases had intravenous administration of antivenin (one dose). Neither none of the patients needed recurrent administration. Discussion: Snake bites are still a major public health problem especially in rural areas. Particularly emergency care physicians should be adequately capable and sophisticated in multidisciplinary management of snake bites.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Acil Tıp Sağlık Bilimleri ve Hizmetleri Pediatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	MÜGE SÖNMEZ B, yilmaz f, Yılmaz M, kavalci c, GÖKHAN Ş, Akbulut S, Ozhasenekler A, Alagöz F (2015). Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. , 558 - 561.
Chicago	MÜGE SÖNMEZ Bedriye Müge,yilmaz fevzi,Yılmaz Muhittin Serkan,kavalci cemil,GÖKHAN Şervan,Akbulut Sami,Ozhasenekler Ayhan,Alagöz Fatih Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. (2015): 558 - 561.
MLA	MÜGE SÖNMEZ Bedriye Müge,yilmaz fevzi,Yılmaz Muhittin Serkan,kavalci cemil,GÖKHAN Şervan,Akbulut Sami,Ozhasenekler Ayhan,Alagöz Fatih Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. , 2015, ss.558 - 561.
AMA	MÜGE SÖNMEZ B,yilmaz f,Yılmaz M,kavalci c,GÖKHAN Ş,Akbulut S,Ozhasenekler A,Alagöz F Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. . 2015; 558 - 561.
Vancouver	MÜGE SÖNMEZ B,yilmaz f,Yılmaz M,kavalci c,GÖKHAN Ş,Akbulut S,Ozhasenekler A,Alagöz F Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. . 2015; 558 - 561.
IEEE	MÜGE SÖNMEZ B,yilmaz f,Yılmaz M,kavalci c,GÖKHAN Ş,Akbulut S,Ozhasenekler A,Alagöz F "Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department." , ss.558 - 561, 2015.
ISNAD	MÜGE SÖNMEZ, Bedriye Müge vd. "Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department". (2015), 558-561.

APA	MÜGE SÖNMEZ B, yilmaz f, Yılmaz M, kavalci c, GÖKHAN Ş, Akbulut S, Ozhasenekler A, Alagöz F (2015). Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. Journal of Clinical and Analytical Medicine, 6(5), 558 - 561.
Chicago	MÜGE SÖNMEZ Bedriye Müge,yilmaz fevzi,Yılmaz Muhittin Serkan,kavalci cemil,GÖKHAN Şervan,Akbulut Sami,Ozhasenekler Ayhan,Alagöz Fatih Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. Journal of Clinical and Analytical Medicine 6, no.5 (2015): 558 - 561.
MLA	MÜGE SÖNMEZ Bedriye Müge,yilmaz fevzi,Yılmaz Muhittin Serkan,kavalci cemil,GÖKHAN Şervan,Akbulut Sami,Ozhasenekler Ayhan,Alagöz Fatih Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. Journal of Clinical and Analytical Medicine, vol.6, no.5, 2015, ss.558 - 561.
AMA	MÜGE SÖNMEZ B,yilmaz f,Yılmaz M,kavalci c,GÖKHAN Ş,Akbulut S,Ozhasenekler A,Alagöz F Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. Journal of Clinical and Analytical Medicine. 2015; 6(5): 558 - 561.
Vancouver	MÜGE SÖNMEZ B,yilmaz f,Yılmaz M,kavalci c,GÖKHAN Ş,Akbulut S,Ozhasenekler A,Alagöz F Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department. Journal of Clinical and Analytical Medicine. 2015; 6(5): 558 - 561.
IEEE	MÜGE SÖNMEZ B,yilmaz f,Yılmaz M,kavalci c,GÖKHAN Ş,Akbulut S,Ozhasenekler A,Alagöz F "Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department." Journal of Clinical and Analytical Medicine, 6, ss.558 - 561, 2015.
ISNAD	MÜGE SÖNMEZ, Bedriye Müge vd. "Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department". Journal of Clinical and Analytical Medicine 6/5 (2015), 558-561.