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Archives 2004
Myanmar Health Sciences Research Journal
Volume 16, Number 1-3
TITLE: Study of snake bite cases referred to Yangon General Hospital.
AUTHOR: Sann Mya; Theingi Yin; Tun Pe
SOURCE: Myanmar Health Sciences Research Journal. 2004; 16(1-3): 14-17
ABSTRACT: A total of 266 snakebite cases (173 retrospective plus 93 prospective) referred to Yangon General Hospital from January 1999to April 2001 were reviewed. Since clinical features, complications and outcome of two study groups were similar data were grouped and presented together. Forty seven% of the referrals were from Yangon division. Majority 77. of the bites were due to Russell's viper (D.r.siamensis), 15. cobra (N. kaouthia), 7. unknown, 0.3. sea snake and 0.3. green pit viper. Majority 73. of Russell's bite were referred for impending or established acute renal failure and 88. finally developed acute renal failure. Thirty one% of them still had incoagulable blood on admission. Majority 70. of acute renal failures cases underwent peritoneal with shock and no peritoneal dialysis died. Fifty-one% (20/39) of cobra bites were referred to intensive care unit, of these 30. (6/20) needed ventilatory support. 37. (7/19) of unknown bites were given one to four ampoules of either Russell's viper or cobra antivenom. One sea snakebite case referred for further management died in spite of conservative treatment. No specific antivenom was available for treatment of sea or green pit viper bites.
SUBJECT HEADINGS: Snake Bites. Referral and Consultation.
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