RESUMEN
The clinical features and hospital management of 31 patients who were bitten by the white-lipped green pit viper (Trimeresurus albolabris) in Hong Kong are reviewed. The cardinal features in these patients were local pain and swelling and mild coagulation abnormalities. Hospital management should include prophylaxis against tetanus, analgesics and measures to reduce local effects such as elevation of the limb. The benefits of the use of prophylactic antibiotics remain to be established. Severe coagulation disturbances were uncommon and responded to fresh frozen plasma and platelet transfusion.
Asunto(s)
Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Trastornos de la Coagulación Sanguínea/etiología , Terapia Combinada , Quimioterapia Combinada , Femenino , Hong Kong , Humanos , Masculino , Persona de Mediana Edad , Mordeduras de Serpientes/complicaciones , TrimeresurusRESUMEN
Little is known about the disease profiles in Chinese living in an urbanized community like Hong Kong. Accordingly, the discharge summaries of 561 acute hospital medical admissions were reviewed and the primary diagnoses (the main reason for admission or the most important clinical problem) were coded according to the International Classification of Diseases. Our data indicate that cardiovascular diseases are the most important cause of acute medical admissions and mortality and that gastrointestinal hemorrhage is very common amongst the Chinese in Hong Kong.