SURVIVAL AFTER COAGULOPATHY INDUCED BY (SAID DAKHIL)SNAKE BITE IN THI –QAR(SOUTH OF IRAQ)

Authors

  • Dhea K. Al-Omar Al -Imam Al-Husiens teaching hospital Dep. Of medicine, College of medicine – Thi-Qar university
  • Majeed M.Al-Hammami Al -Imam Al-Husiens teaching hospital Dep. Of medicine, College of medicine – Thi-Qar university
  • Haidar M. Al-Yassiri Al -Imam Al-Husiens teaching hospital Dep. Of medicine, College of medicine – Thi-Qar university
  • Khudair H. Al-Asadi Al -Imam Al-Husiens teaching hospital Dep. Of medicine.

Abstract

Background  and aims   :Coagulopathy after snake bite in Thi –Qar is one of the challenge to health services in the last  few years .different types of snakes are present ,the most dangerous one is belong to vipradea family is Echis Craniatus stimmler. Patients  and method: Retrospective  study  of patients who admitted to Al -Imam  Al-Hussiens teaching hospital  January 2002 – October 2011 ,308 , victims , (254 of  them experienced bleeding ). Results:  Female mostly were bitten in their upper limbs, while lower limbs among male. Death more among female, those who present late  . DIC is the unique cause of death. No  DIC occur after 7 days of the onset bite.  All   those  who received blood  from surviving DIC persons  were   survived. Use of  available  polyvalent Antivenom  shows decrease  mortality rate but  not statistically significant.       Discussion: Early admission  and receive  medical care may improve prognosis. Formation of auto antibodies    around    the end the  first week may explain survival  and  no death after this time  ,which also explain the benefit to those who receive their blood .Further studies needed  .

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2021-03-26

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