The machine ventilates and Rheubarb is rescuing snake to bite with the result that the application for having respiratory failure

Abstract

Objective To explone the treatment of snake bite with acuterespiratory failure. Methods Choice snake bites with the result that have respiratory failure in 46 case, treatment ethod :①The machine ventilates treatment:The sufferer appears a spnea to breathe perhaps shallow slow, the windpipe puts a tube to goa machine to ventilate in time. Start up mode for theassist/control ventilation(A/C) or the synchronously intermittent mandatory ventilation (SIMV), noticing sufferer's chest Kuo of observation to rise and fall circumstance and lung department body to advertise for, the dynamic state monitors pulse blood oxygen saturation degree, X line chest slice and blood-gas analysis, and see condition variety adjustment to ventilate parameter, make it attain off-line standard gradually. ②Living a Rheubarb 20 g + the clear water 250 ml water fry a 15 mins, tube Si, qd,connect to use 3 ～ 5 d. ③The normal regulations cures: The wound cuts open row poison and medicine part to close, early the foot measure applied anti-snakepoisonous serum etc. Results Sufferer stays in the hospital time for 6 ～20 d,average(13.4 ± 5.2)d. Ventilate time for those<48 h was 28 case(60. 9％ ) ,48 ～72 h was 12 cas(26. 1％ ), ＞72 h was 6 case( 13.0％ ). Cure 44(95.7％ ) ,die 2(4. 3％ ). Death all is seek medical advice merge many organ function obstacle. Conclusion Machine ventilates consociation Rheubarb, the anti-snake poisonous serum etc. gather to tie a treatment is rescue snake to bite with the result that have a failure in respiring a valid method. Key words: Snake bite; respiratory failure; Mechanical ventilation; Rheubarb