CÁC YẾU TỐ TIÊN LƯỢNG BỆNH NHI BỊ RẮN CHÀM QUẠP CẮN TẠI BỆNH VIỆN NHI ĐỒNG 1

Abstract

Objectives: Identifying some correlations, prognosis in children bitten by Malayan pit viper in Children hospital 1. Methods: Retrospective and prospective study of a series of 54 children bitten by Malayan pit viper in Children hospital 1 from 01/01/2011 to 31/12/2020. Results: The later the hospitalization time, the worse the level of intoxication (p < 0.001). Patients who have a charlatan have a 3.2 times higher incidence of severe intoxication (KTC 95%: 1.4 - 7.5), p = 0.002. In the group of severely intoxicated patients there was a change in the blood clot function test and a longer hospital stay (p < 0.001). Blisters increase the incidence of necrosis, infection, bruising, wound necrosis and pervasive invascular coaulation (p < 0.001). Skin hemorrhage increases the incidence of bite bleeding, gum bleeding, and pervasive intravascular coagulation (p < 0.001). Conclusions: Closely monitor the late hospitalized pediatric patients; improper treatment before admission; there are local symptoms such as bullae, ecchymosis, local infection, necrosis; hemorrhagic symptoms such as: bite bleeding, skin hemorrhage, and wound swelling > two joints for timely
indication of antivenom serum, reducing mortality and sequelae.