Study of snake Bite clinical signs , Complication and Management

الملخص

Background: venomous snake bite represent an environmental health risk in Al- diwanyiah districts.
Objectives: to find out the epidemiology, complications ,mortality due to venomous snakebites & the effectiveness of tranexamic acid in the treatment of coagulopathy caused by snakebites in the absence of specific antivenin.
Patients & methods: the study involved 65 victims of snakebite admitted to the medical ward in Al-diwanyia teaching hospital. Information were collected regarding age,sex,geographical origin areas affected, severity & complications including death .The effectiveness of tranexamic acid in the treatment of coagulopathy analyzed by Chisquare.
Results: 95.5% of victims lived in remote rural areas of Al-Diwaniah districts.66.1% had bleeding at time of admission. The annual mortality rate was 24.4%. Early fasciotomy seemed to worsen the prognosis.Tranexamic acid not reduced the mortality significantly in the group were used. No thrombotic events reported in both groups ( with & without tranexamic acid ).