Coagulopathy in patients who experience snakebite
The Korean Journal of Internal Medicine
;
: 94-99, 2008.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Rabdomiólise
/
Mordeduras de Serpentes
/
Transtornos da Coagulação Sanguínea
/
Estudos de Casos e Controles
/
Incidência
/
Estudos Retrospectivos
/
Fatores de Risco
/
Hemólise
/
Leucocitose
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Animais
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
The Korean Journal of Internal Medicine
Ano de publicação:
2008
Tipo de documento:
Artigo
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