Myanmar Health Sciences Research Journal
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Aims of MHSR Journal
  • To serve as an important medium for the publication of original research in the field of medical science and health research, thus filling gaps in health knowledge for effective utilization of research findings
  • To impart current medical knowledge and updated scientific information obtained from research to health professionals for better and appropriate health care management
  • To disseminate recent basic, applied and social research findings among health personnel of different strata for enhancing worldwide health development


Archives   2006

Myanmar   Health   Sciences   Research   Journal

Volume   18,  Number   1

TITLE:   Compartmental Syndrome following a green pit viper (Trimeresurus erthrurus) bite.
AUTHOR:   Tun Pe; Tin Tin Aung
SOURCE:   Myanmar Health Sciences Research Journal. 2006; 18(1): 31-33
ABSTRACT:   Green snake bite is common in Myanmar and majority of the victims do not seek hospital treatment because of lack of mortality and morbidity. However, in the present case, a 17 yr old girl bitten by a big green snake with a dry tail who applied tight tourniquets developed massive local swelling (diagnosed as a compartmental syndrome) and bleeding from the wound. Fasciotomy performed on the patient with incoagulable blood leads to uncontrolled local bleeding, shock and wound sepsis almost killing the patient was rescued by replacement of 26 units of blood, intensive care treatment to combat shock and sepsis and ventilatory support for 6 days. The patient landed up with wrist drop and sensory loss of the limb and has spent 6 months in hospital for reconstructive surgery. The massive swelling and wrist drop could be secondary to the use of tight tourniquets and compartmental syndrome. The study highlights that surgical intervention in snake bite patient with incoagulable blood should be delayed until specific antivenom or clotting factor substitutes are given to correct the coagulation defect.
SUBJECT HEADINGS:   Snake Bites. Trimeresurus. Russell's Viper.
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Vision : Achieving a healthier nation through application of research findings          Mission Statement : To Develop and promote solutions to the major health problems of Myanmar