TY - JOUR ID - TI - Study of snake Bite clinical signs , Complication and Management AU - Hazem K. Abdul-Kareem PY - 2007 VL - 2 IS - 3 SP - 98 EP - 106 JO - Al-Qadisiyah Medical Journal مجلة القادسية الطبية SN - 18170153 23127864 AB - Background: venomous snake bite represent an environmental health risk in Al- diwanyiah districts. Objectives: to find out the epidemiology, complications ,mortality due to venomous snakebites & the effectiveness of tranexamic acid in the treatment of coagulopathy caused by snakebites in the absence of specific antivenin. Patients & methods: the study involved 65 victims of snakebite admitted to the medical ward in Al-diwanyia teaching hospital. Information were collected regarding age,sex,geographical origin areas affected, severity & complications including death .The effectiveness of tranexamic acid in the treatment of coagulopathy analyzed by Chi-square.Results: 95.5% of victims lived in remote rural areas of Al-Diwaniah districts.66.1% had bleeding at time of admission. The annual mortality rate was 24.4%. Early fasciotomy seemed to worsen the prognosis.Tranexamic acid not reduced the mortality significantly in the group were used. No thrombotic events reported in both groups ( with & without tranexamic acid ).

دراسة وبائية أجريت على ضحايا لدغات الأفاعي السامة الراقدين في مستشفى الديوانية التعليمي للفترة من 2002–2005 . أتضح من تلك الدراسة ان 60 % من الضحايا من منطقة ال-بدير؛ 66.1%من المرضى يعانون من نزيف من مختلف مناطق الجسم.نسبة الوفيات للمرضى الراقدين24.4% سنويا وتعتبر عالية جدا عند مقارنتها بالدول النامية والمتقدمة بسبب عدم توفر المصل المضاد ووحدات الدم والبلازما والراسب البارد. ER -