[Doctor Said] series of columns
【Doctors Say】 is a series of expert introduction columns recently launched by Wuyishan Public General Hospital, introducing the characteristics of martial arts experts, listening to doctors talk about various diseases and disseminating health knowledge from a professional perspective. The general public can be seated in the right number, if you find the corresponding discomfort, welcome to consult the relevant experts.
What should I do if I am bitten by a snake in summer?
"120, remember, still, wash, tie" five steps
The Snake Injury Center of the Municipal Hospital protects your health
Summer weather is hot, snake activities are frequent, since the summer, the emergency department of our hospital has received 36 cases of patients who have been bitten by snakes, snake injuries to bamboo leaf green snake, cobra, five-step snake bites are the main, the occurrence of the place is generally in the wild or park and other places where trees and grasslands are exuberant, some of the more hidden corners of the home may also have snakes.
1. Poisonous snake bites
It is a type of emergency in which a venomous snake with poisonous fangs bites through human skin, and then the venom invades and causes local and systemic poisoning.
It is understood that the snake venom of the bamboo leaf green snake will cause coagulation dysfunction in the human body, and the wound will swell rapidly after being bitten. Cobras are more venomous, and after being bitten, people who are injured will generally have symptoms such as limb weakness and respiratory muscle paralysis, and it is best to go to a hospital with conditions for treating snake venom within two hours.
Trimeresurus
2, encounter snakes, please do not be afraid!
Snake at home: don't catch it, don't disturb it, calling the police is your right choice!
Snake encounters in the wild: keep your distance! It is best not to go into streams and valleys or shrublands at night.
Farmland meets snakes: Do not go barefoot when ploughing in the fields, it is best to wear long pants, thick-soled boots or rubber shoes.
3. Unfortunately, if you are bitten by a poisonous snake, what should you do?
The Snake Injury Center of Wuyishan Municipal Hospital answers your questions and can follow the following five steps to carry out self-help.
Step 1
Quickly call the emergency number 120. If you have the opportunity, you can capture a photo of the snake, or write down the characteristics of the snake, such as pattern, head shape, etc., so that the doctor can distinguish the type of snake and carry out targeted treatment.
Step 2
Keep the injured person in a quiet state, try to avoid the injured limb movement, and quickly leave the injured environment on a stretcher or on his back and send it to the hospital for treatment as soon as possible.
Step 3
Remove all tight clothing and accessories from the injured limb. Too tight clothing and accessories can make the affected limb highly swollen and may cause ischemic necrosis of the limb.
Step 4
Quickly rinse the wound with plenty of water, or soapy water, to prevent further absorption of the venom as much as possible.
Step 5
Tie the bite at 5 to 10 cm near the centripetal end, using local materials, rope, cloth strips or towels. Lashing is a key step in gaining rescue time.
(1) The material of lashing: it is best to use wide-brimmed materials, such as cloth bags and shoelaces, if there is no one, you can tear off the clothes as materials;
(2) Lashing time: relax for 1 to 2 minutes every 20 minutes;
(3) The strength of the lashing: it can not only prevent superficial lymph and venous return, but also allow a small amount of arterial blood to prevent limb necrosis.
Doctor reminds
When working or playing in the field, it is best to wear long-sleeved tops, trousers, shoes and socks, and if necessary, a straw hat and gloves. For wuyishan, the hometown of tea, especially in the tea picking season, tea farmers and pickers should have corresponding protective measures when picking tea, such as wearing gloves, wearing buckets, and even lashing.
Wuyishan Municipal Hospital Snake Injury Center
He has rich experience in the treatment of venomous snake bites, and receives more than 100 cases of venomous snake bites every year, which has unique advantages and significant efficacy in the treatment of venomous snake bites.
As the core team of the snake injury center- the emergency department, Jiang Xiaobo, deputy chief physician of Nanping snake injury doctor, took the lead in discussing the diagnosis and treatment plan, and created the "Wuyi Snake Injury Center" WeChat group to communicate and learn in the group and improve the diagnosis and treatment ability. Since 2017, the number of patients receiving treatment has increased year by year, including many snake injury patients from surrounding counties and cities, and the cure rate of snake injuries is high, and they can be cured and discharged after treatment in our hospital.
Jiang Xiaobo used traditional Chinese medicine to bandage the wounds of patients
The WeChat group of the snake injury center established by the emergency department has greatly improved the efficiency of treatment
Doctor Profile: Jiang Xiaobo
Jiang Xiaobo, Deputy Chief Physician of The Department of Traditional Chinese Medicine Surgery. Engaged in snake injury treatment for more than 40 years, good at treating various poisonous snake bites, immersed in the study of snake injury diagnosis and treatment technology, committed to snake injury treatment, accumulated rich experience in snake injury treatment, the effect is remarkable, for the treatment of snake injuries in Nanping area famous doctor. In addition, there are unique treatment methods for anorectal diseases such as anorectal hemorrhoids, and the treatment of refractory constipation and chronic diarrhea is also quite unique.
Wuyi Mountain common poisonous snake atlas
Silver ring snake
The silver ring snake, also known as the white flower snake, the base armor, the white knot snake, the silver foot belt, the silver clad iron, etc., is a highly venomous snake of the reptiles, snake orders, and cobra family. The body is about 1 meter long, the head is rounded, slightly larger than the neck, there are anterior groove teeth, the back of the whole body has black and white horizontal stripes, the white stripes are narrower than the yellow stripes, accounting for about 1-2 scales wide, there are 20-30 on the body, 7-17 on the tail, and the abdomen is all white. The dorsal scales are smooth, with 15 rows, and the central row of scales on the back is enlarged and hexagonal. The scales are intact, the tail scales are all single-rowed, and the tail end is more pointed, and these features can be distinguished from other snakes with black and white rings. Mostly inhabit plains, hills or places near the water at the foot of mountains, especially on low slopes with sparse trees or small grasses, cemeteries, fields, roadsides, vegetable beds, etc. are the places where they often move. Day and night, especially in the middle of the night, activities are more frequent. The most suitable temperature for life is 26-30 ° C, hibernation begins in mid-November, and eggs are laid in June and August, with 5-15 eggs per spawn. Bait is fish , frogs , lizards , snakes and rodents. The snake is timid, agile, easy to harm people and animals, and its venom is fiercely toxic, mainly nerve venom.
Five steps snake
The five-step snake is also known as the sharp-nosed belly, the snake, the white flower snake, the checkerboard snake, the silk snake, the chandelier flutter, the hundred-step snake, the lazy snake, the upturned nose snake and the deaf snake. The body length is 1-2 meters, and some are more than 2 meters. The head is distinctly triangular , with the snout pointed and upward upwards. There are 3 small scales between the nasal scales and the anterior fossa, 7 upper lip scales, 11 lower lip scales, 2 anterior scales, 1 retroocular scale, and 1 under-eye scale, which is longer. 2 anterior temporal scales, 4-5 posterior temporal scales, 22 or 21 rows on the neck, 21 rows in the middle of the body, 17 rows anteriorly, 157-171 ventral scales, 62-60 pairs of subcoccineal scales, in a single column in front. scales are monolithic, dark brown or tan on the back of the body, with a row of more than 20 square large patches in the middle, with large dark brown markings on the sides, and the apex is connected by a dorsal midline. Behind the eyes to the side of the neck, there are black banded stripes, and the abdomen is yellowish-white with obvious rosary spots. It often lives in mountains, leaf piles or rock gaps with more trees, on the side of mountain roads, and also inhabits grass, and cannot be coiled during the day, with the head located in the middle and the tip of the snout upwards. Moving slowly, with little movement, and when alarmed, it is violently attacked. It is often active in rainy weather. If you are not disturbed, you generally do not take the initiative to bite. Predation is mainly based on rats, snakes, birds, lizards and scorpions, and frogs. oviparous. Because of its large glands, long poisonous teeth, belonging to the tube tooth class, and strong toxicity, venom is hemolytic poison, if people are bitten if they can not be treated in time, often life-threatening.
Eye mirror snake
Cobras are also known as snakes, blowing snakes, blowing turtles, flat-headed winds, rice shovel heads, rice spoon heads, black meat snakes and so on. It is a venomous snake of the family Cobraidae. Its head is oval in shape, and because it is provoked, the head can be erected in the front half of the body, when the ribs of the neck are expanded, the neck is flattened, and the white spectacle-like markings on the back of the neck are abnormally exposed. Hence the name. The body length is generally 1-2 meters, the back of the body is black or black brown, and some individual snakes have several thin white stripes, which are more obvious when the snake is active. There are more than 10 yellow stripes on the body and tail, and the dorsal scales are smooth and oblique. The ventral surface is shallow , with two black spots and a black transverse band on the ventral surface of the neck. It often inhabits hilly slopes, mounds, bushes or waterside at the foot of mountains. The diet is very mixed, fish, frogs, rodents, lizards, birds and bird eggs, poultry eggs and so on. oviparous. Mostly positive, often active during the day, heat tolerance is strong, and the temperature can be tolerated in the sun of 35-38 ° C. When provoked, it is aggressive and often makes a "whoosh" sound. The venom is a mixture of toxins.
Soldering iron head
Soldering iron head is also known as turtle shell flower snake, mouse snake, evil squid, golden leopard, bamboo shoot shell spot, hanging tree cat, snake cover, wild cat species and so on. Body length about 0. 7-0． 9 meters, up to 1. 3 meters. The head is obviously triangular, the neck is thin, shaped like a soldering iron, so it is called a soldering iron head, the back of the head is small scales, the body is slender, the tail is long and the end is thin, and it is winding. The dorsal surface is pale brown or tan , with a row of dark purple ripples on the dorsal ridge , and a pale brown ventral surface scattered with dark brown dots. It often lives near shrubs, streams, bamboo forests or residential areas in hills and mountains, and can also be moved indoors with firewood. It feeds on birds and rodents, is often active at night, and is oviparous. Venom is mainly blood circulation.
Bamboo leaf green
Bamboo leaf green alias Diao Zhu Qing, small green worm, red eyes, green bamboo snake, green bamboo standard, scorched tail, green tooth snake and so on. Body length 0. 5-1 m, the head is clearly triangular, the back of the head is covered with small scales, the eyes are red, the back and sides of the body are bright green, the ventral surface is light green, there is a yellow, white or red and white longitudinal line on the side of the body, and the tail back and tail end are burnt red. The tail is short and winding. It is often found in streams and grasses at altitudes of 150-200 meters in mountainous areas, and is also found in bamboo bushes, rice paddies and melon sheds next to houses in mountainous areas. It is diurnal and frequent, preying on frogs, lizards, birds and rodents. ovoviviparous. Its venom is blood circulation.
Viper
Pit vipers are also known as ground snakes, earth snakes, pu, gray chain whips, rotten belly snakes, seven inches, hemp seven inches and so on. The head is triangular, buccal fossa, the snout scales are pronounced, the scales between the nose are broad, the lateral margin is pointed, the dorsal scales are pronounced, and the total length is about 60-70 cm. The back is gray-brown, the back of the head has a dark figure-eight spot, the temporal part has a fine white eyebrow pattern with a black edge, and the back of the trunk is larger, generally there are 2 rows of dark brown round spots, staggered left and right, and some have horizontal spots of the same depth. There may be scattered irregular spots, a row of brown spots on the side of the body, and a grayish or grayish brown ventral surface with mixed black spots. Plains, hills, mountains and other environments can be lived in a variety of environments. It often inhabits graves, grasses, rock piles and fields, and is coiled into clumps, like. It is a pit viper of the northern type and is highly hardy. It feeds on frogs, birds and rodents, but also eats fish, snakes and lizards. ovoviviparous. The young snakes produced eat arthropods such as centipedes, and their venom is mixed with venom.
(Wuyishan Public General Hospital Party Committee Office)
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