YAVUZ POYRAZOĞLU, Mehmet TOYGAR, Yusuf Ziya TÜRK, Ali Osman YILDIRIM, Salim ÖZENÇ

Askeri personelde yılan sokmalarına bağlı zehirlenmeler

AMAÇ: Yılan sokmaları kırsal alanda yaşayan insanlar arasında yaygındır. Askeri personel yılan sokmaları için risk grubundadır. YÖNTEM: Bu çalışmada, askeri personel de vipera tipi yılan sokması olan 7 vakayı inceledik ve fonksyon kaybının en aza indirilmesi, sonuçların en iyiye çekilmesi için yapılması gerekenleri tartıştır. Bütün sokmalar ekstremitelerde idi ve 5 tanesi ellerdeydi. SONUÇLAR: Bütün hastalar, iyi bir triyaj göstergesi olan yılan sokması gününde başvurmuştu. En yaygın sistemik komplikasyon hematolojik komplikasyonlardı. Antivenom tedavi zehirlenme düzeyine göre uygulandı. Lokal yara bakımı, greft ve flempler yara kapamada kullanıldı. TARTIŞMA: Yılan sokmaları özellikle sıcak iklimdeki askeri personel arasında ciddi ölüm nedenlerinden olabilir. Yılan sokması olgusu itinayla ele alınmalıdır. Triyaj ölümleri önlemede en önemli basamaktır. Hemen hemen tüm yılan sokmaları ekstremitelerde olduğu için elleri korumaya yönelik önlemler önlemler mutlaka alınmalıdır.

Pit viper envenomation in military personnel

Snakebites are common in people living or working in rural area. Military personnel are among the risk groups for viper envenomation. In this study, we presented seven cases of vipera snakebites in military personnel and discussed how to minimize functional loss and maximize the outcome. All of the bites were located in extremities and 5 were at hands. All patients were admitted at the day of snake bite which is an indicator of good triage. Hematological complications were the most common systemic complications. Antivenom therapy was performed according to the severity of the envenomation. Local wound care, grafts and flaps were used for wound coverage. Pit viper envenomation can cause serious morbidity in military personnel especially at hot climates. A suspicion of snake bite must be managed properly. Triage is the most important step to reduce the morbidity. Almost all snake bites occur in extremities, thus protective measurement must be taken especially for hands.

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