Reminder | Hot weather, be careful of snakes, Hunan Hospital has been treated in many cases
Author:Sanxiang Metropolis Daily Time:2022.06.17
Recently, the temperature in Changsha has continued to rise, and it has continued to rain. The phenomenon of "snakes" is common. The Department of Emergency Department of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine has continued to treat patients with many snake bite.
At present, the season of Hunan is the golden season of snake activities. Today, Wen Aizhen, director of the emergency department of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, reminded that when the masses go out, they should pay attention to preventing measures to be bitten by snakes and grasping emergency measures.
Simple treatment after snake bite, emergency treatment of poisoning symptoms
Ms. Zhang in Changsha County was accidentally bitten by the poisonous snake when she was working in the field. At that time, she didn't pay much attention to it. She just rinsed with water and "squeezed" with her hands to detox. Two hours later, Ms. Zhang's left ankle and left foot were swollen and bruised in large areas. The pain was unbearable. She also showed that she had poor breathing and darker urine color.
The family called 120 urgently, and Ms. Zhang was taken to the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine. The emergency department used the description of the characteristics of the tooth marks, wounds and systemic symptoms based on the bite site, and combined with Aunt Zhang's appearance of the appearance of the snake. After oral, external and other symptoms, Ms. Zhang's indicators returned to normal and turned danger into peace.
The golden season of snake activities has arrived, and the disposal measures to be bitten
At present, the season of Hunan is the golden season of snake activities. The most suitable temperature for snake activities is 25 ° C-35 ° C. According to toxicity, snakes are generally divided into two categories: poisonous snakes and non -toxic snakes. Snake venom is a venomous snake secrete a liquid from the poisonous glands. The main ingredient is toxic protein. It has poisonous snakes according to venom pharmacology, toxicology, and the effect of the body into neurotoxicida. , Hematology, cytotoxicity, and hybrid poison.
How to deal with the scene in case of accidentally biting it? Wen Aizhen, director of the emergency department of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, gave a detailed introduction.
Poisonous snake bite on -site disposal principle:
Director Wen Aizhen suggested: After being bitten by a snake, do not panic, do not try to capture or chase snakes to avoid secondary bite. Remember the shape of the snake as much as possible, including the characteristics of snake heads, snakes, patterns, and colors. If you have conditions, you can take photos of snakes, repeatedly rinse the wound and tie it as soon as possible. Press the chest and breathe artificially immediately, call 120 as soon as possible and send it to the hospital urgently.
Non -toxic snake bite tooth marks generally arranged two rows or shallow and dense sawtoles, and there are many numbers, mainly local symptoms, mild symptoms, and most of them have no obvious systemic symptoms. The poisonous snake bite can be seen from the part of the two larger ".." distributed tooth bite marks, which also shows a "::" shape, and there are systemic symptoms. If the snake is not toxic, it should be urgently treated according to the toxic snake bite.
(1) Removal of objects of the injury: various limited items on the injured parts, such as rings, bracelets, watches, and tight clothes, pants sleeves, shoes, etc. to avoid being unable to remove due to subsequent swelling and increase local damage.
(2) Rinse wounds: While waiting for the rescue, you can use clean cloth to dip the wounds and rinse the wound repeatedly. If the wound remains to the tooth, you should be carefully cleaned and rinse. If the wound is bleeding more, the clean fabric coverage is simply stopped. If the wound is bleeding, it is bundled with cloth strips at 5-10cm from the end of the wound. The tightness of the bundle and loosening should not be too tight. Leave a finger width and relax for 1-2 minutes every 20 minutes.
(3) Binding and fixing the wounded limbs: After being bitten by a poisonous snake, immediately use cloth strips, hand towels or bandages, etc., 5-10 cm near the injured limb or above the wound, or a joint ligation, or the injury finger is in the injury finger. (Toe) Roots are tied to reduce the flow of veins and lymphatic fluids (cannot hinder the blood flow of the arteries), thereby achieving the purpose of temporarily prevent snake venom absorption. During the later delivery, it should be loosen every 20 minutes, 1-2 minutes each time to prevent blood stasis and tissue necrosis.
(4) Patients with correct transport: After the simple plywood is fixed, the wound should be placed at a relatively low position (keep below the heart level) sagging positions, static, restricted activities, and use the door panel and other stretchers to be lifted to the place where can be transferred and the ability to treat treatment. (Especially with anti -snake venom serum) medical institutions.
Reminder how to prevent snake bite?
Director Wen Aizhen suggested: When the snakes often come to the time when the sultry and rain or after the rain is clear, the cobra and the cobra king snake likes to act during the day, and the silver ring snake prefers night activities.Do not go to the grass in the grass when walking. Wild activities should wear big trousers and boots to do personal protection.When you encounter a snake, don't disturb it, especially don't vibrate the ground, hurry up.Wen Aizhen reminded: If you are bitten by a snake, try to reduce the movement as much as possible to avoid acceleration of blood circulation; it is not recommended to open the wound by yourself to avoid damage to the surrounding blood vessels, nerves, and tendons; do not apply ice cubes to prevent skin frostbite at the wound.
All media reporter Li Qi Correspondent Zhou Youliang
(First instance: Huang Juan Second Trial: Peng Zhiguo Third Trial: Zhou Wenbo)
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