Coagulopathy in patients who experience snakebite
The Korean Journal of Internal Medicine
;
: 94-99, 2008.
Article
in English
| WPRIM
| ID: wpr-206217
ABSTRACT
BACKGROUND/AIMS:
Coagulopathy is a common complication of snakebite, but there is little information on the clinical importance of coagulopathy. We analyzed the characteristics of coagulopathy after envenomation.METHODS:
Ninety-eight patients who experienced snakebite were enrolled in this study. We divided all the patients into three groups by the ISTH DIC scoring system the normal, simple coagulopathy and DIC groups. The coagulopathy group included both the simple coagulopathy and DIC groups. We then conducted a case-control study.RESULTS:
There was a significant decrease in the Hct, protein, albumin, ALP and cholesterol levels in the coagulopathy group, and only the cholesterol level was deceased in the DIC group (p<0.05). Leukocytosis and rhabdomyolysis were significantly associated with coagulopathy, and hemolysis and rhabdomyolysis were associated with DIC (p<0.05). The presence of rhabdomyolysis was considered a risk factor for coagulopathy (p<0.05). These conditions continued for up to six to seven days after the snakebite.CONCLUSIONS:
Evaluation of coagulopathy with using these characteristics is helpful to properly manage the patients who experience snakebite.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rhabdomyolysis
/
Snake Bites
/
Blood Coagulation Disorders
/
Case-Control Studies
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Hemolysis
/
Leukocytosis
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Animals
/
Female
/
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Internal Medicine
Year:
2008
Type:
Article
Similar
MEDLINE
...
LILACS
LIS