河北医科大学学报

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秦皇岛市2 577例海蜇蜇伤流行病学分析#br#

  

  1. 1.河北医科大学第二医院急诊科,河北 石家庄 050000;2.河北省秦皇岛市北戴河医院急重症医学科,河北 秦皇岛 066100
  • 出版日期:2017-10-25 发布日期:2017-10-18
  • 作者简介:霍书花(1970-),女,河北行唐人,河北医科大学第二医院主任医师,医学硕士,从事急诊医学研究。
  • 基金资助:
    河北省医学科学研究重点课题(ZD20140486);中央保健局科研课题(W2013BJ58)

Epidemiological analysis of jellyfish stings in 2 577 cases in Qinhuangdao#br#

  1. 1.Department of Emergency, the Second Hospital of Hebei Medical University, Shijiazhuang
    050000, China; 2.Department of Intensive Care Unit, the Hospital of Beidaihe,
    Qihuangdao City,Hebei Province, Qihuangdao 066100, China
  • Online:2017-10-25 Published:2017-10-18

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗分析海蜇蜇伤患者流行病学资料及临床特征,为预防及诊治提供科学依据。
〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析秦皇岛市北戴河医院收治的2 577例海蜇蜇伤患者的临床资料,对其流行病学特点、临床表现、诊断治疗及预后进行描述性统计学分析。
〖HTH〗结果〖HTSS〗〖KG*2〗2 577例患者中儿童1 313例,成人1 264例,男性1 508例,女性1 069例,年龄0.5~78岁,蜇伤部位以下肢最为常见(70.94%)。海蜇蜇伤轻型患者占大多数为2 536例(98.41%),中型患者33例(1.28%),重型患者8例(0.31%),无死亡病例。近3年海蜇蜇伤发生例数呈逐年减少趋势。
〖HTH〗结论〖HTSS〗〖KG*2〗海蜇蜇伤应以预防为主,有效的预防措施可显著降低发生率。治疗主要关注过敏反应,重视局部处理,同时防范其他并发症,以减少病死率。

关键词: 腔肠动物毒液类, 海蜇蜇伤, 流行病学研究

Abstract: [Abstract] Objective〖HTSS〗〓To analyze the epidemiological data and clinical features of jellyfish stings, and to provide scientific basis for prophylaxes,  diagnosis and treatment.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The 2 577 clinical cases of jellyfish stings in Beidaihe hospital of Qinhuangdao were restrospectively analyzed. The epidemiological characteristics, clinical symptom, diagnosis, treatment method and prognosis were included in the descriptive statistical analysis.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Of the 2 577 cases, there were 1 313 children, 1 264 adults, aged from 0.5 to 78 years(male 1 508, female 1 069).  Lower limbs were most frequently stinged, account for 70.94%. The majority of jellyfish stings were mild in 2 536 patients(98.41%), 33 in moderate patients(1.28%), and 8 in severe patients(0.31%), with no deaths. In recent 3 years, the number of jellyfish stings cases has been decreasing year by year.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Jellyfish stings should be based on prevention, and effective preventive measures can significantly reduce the incidence. The treatment should be foccured on the anaphylactic reaction and local processing in therapy and preventing  the complication in order to decrease fatality rate.

Key words: cnidarian venoms, jellyfish sting; epidemiologic studies