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KMID : 0371319720140010009
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Journal of the Korean Surgical Society
1972 Volume.14 No. 1 p.9 ~ p.16
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Surgical Experience in Snake-Bite Patients
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沈虎植/Sim, Ho Shik
張龍雄/羅珪淵/金世煥/Chang, Yong Ung/Lah, Kyu Youn/Kim, Sae Whan
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Abstract
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There are approximately 300,000 snake-bite patients annually reported world-wide, exclusive of com
munist bloc countries, an estimated 30,000∼40,000 fatalities resulted.
About 25,000 people died of snake-bite in southern Asia, which has the highest concentration in the
woirld.
Recently developed and improved surgical treatment has decreased the mortality rate to about 3∼5%.
The author, et al. in the Surgical Department of Wonju Union Christian Hospital studied the patho
physiology, symptoms and treatment of 73 cases of snake-bite recorded over the past 10 years from
1961 to 1971.
The most commonly seen poisonous snakes were Ancistodon halyx brevicaudus stejneger, Ancistro
dpn halyx intermedius strauch, Ancistrodon blomhoffi.
The venin of these snakes consist mainly of cytolysin rather than neurotoxin.
The most common clinical manifestations were subcutaneous hemorrhage, swelling of world site,
skin erosion and blister formation. However, because of faulty use of tourniquests, further complications
such as skin, muscle and bony necrosis were seen. Typical toxic general manifestations caused by
neurotoxin were not observed in our series.
Treatment consisted of general supportive and local care. The fresh snake-bite wound was treated by
incision, suction, and saline soaking. Complicated wounds suck as skin recrosis were treated by debride
ment, and skin graft. Bony necrosis was treated by amputation.
Results and prognosis were good in uncomplicated cases. There was no mortality in our series.
The major complication of snake-bite was circulatory impairment due to prolinged touniquet use
rather than the snake-bite itself.
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