2024-03-28T09:34:16Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016356
2022-02-22T04:55:43Z
1642838163960:1642838198944:1642838242961:1642838246054
1642838403551:1642838412624
[原著]沖縄県における毒蛇咬傷について : 上肢のハブ咬傷後遺症を中心に
Venomous Snake Bite in the Ryukyu Islands : Habu Bite Sequela in Upper Extremity
嘉陽, 宗俊
Kayo, Munetoshi
In the Ryukyu islands, there are two kinds of venomous snakes - Habu and Sakishima Habu. During the four year period from 1974 to 1978, we investigated 101 cases of venomous snake bite -, 81 sequela cases treated at other hospital and later brought to our attention, 20 cases were treated at the University of the Ryukyus Hospital from the beginning, in which 3 cases were resulted in sequela. The involved site included 65 cases in upper extremities, 33 cases in lower extremities, and 3 cases in head and face. Habu antivein has been used for Habu bite but has occasionally failed to prevent local necrosis of the bitten site and sequela has resulted, especially in case, a large quantity venom was injected into the muscle. Habu bite sequela is consisted of one or more following 1) Contructure and adhesion of muscle, myofascia, and tendon. 2) Peripheral nerve palsy 3) Circulation disturbance 4) Changes of bone andjoint We now emphasize an immediate and an adequate excision of the tissues containing the venom and decompression fasciotomy in extreme case to prevent the sequela.
論文
http://purl.org/coar/resource_type/c_6501
琉球大学保健学部
College of Health Sciences, University of the Ryukyus
VoR
0285-9270
AN00250763
琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine
2
2
183
177
jpn
open access
琉球医学会