Study of Haematological and Coagulation Profile in Snake Bite Patients in GMKMC, Salem

Arul Varuni B, (2020) Study of Haematological and Coagulation Profile in Snake Bite Patients in GMKMC, Salem. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.

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Abstract

BACKGROUND: Snake bite is a common medical emergency and occupational hazards in most parts of India. Coagulopathy is a common manifestation in cases of snake bite and its abnormality can be detected by blood coagulation tests. AIM OF THE STUDY: To study the most common species of snake, clinical manifestations, coagulation abnormalities before and after the admiration of Anti-Snake venom. MATERIALS AND METHODS: 70 patients who experienced snake bite were enrolled in the study. Blood samples collected and analysed for coagulation abnormalities. RESULTS: In the present study, PT was recorded as NCD in 2.9%, prolonged in 71.4% and normal in 25.7% of patients before administration of ASV. After the administration ASV, No cases had NCD, 22.9% had prolonged PT and 77.1% normal PT. APTT was recorded as NCD in 4.3%, prolonged in94.3% and normal in 1.4% of patients before administration of ASV. After the administration ASV, No cases had NCD, 95.7% had prolonged APTT and 4.3% normal APTT. TT was recorded as NCD in 8.6%, prolonged in 42.9% and normal in 48.6% of patients before administration of ASV. After the administration ASV, No cases had NCD, 7.1% had prolonged TT and 92.9% normal TT. Fibrinogen was recorded as NCD in 27.1%, less than 150 mg/dl in 1.4% and normal fibrinogen level in 71.4% of patients before administration of ASV. After the administration ASV, No cases had NCD, 7.1% had Fibrinogen less than 150 mg/dl and 85.7% normal Fibrinogen levels. CONCLUSION: Coagulation markers (PT, APTT, TT, Fibrinogen) should be considered as first line of investigation before and after the administration of ASV to assess the severity of the venom.

Item Type: Thesis (Masters)
Additional Information: 201713751
Uncontrolled Keywords: Snake bite, coagulation markers, PT, APTT, TT, Fibrinogen, Anti-Snake Venom.
Subjects: MEDICAL > Pathology
Depositing User: Subramani R
Date Deposited: 29 Jan 2021 17:30
Last Modified: 29 Jan 2021 17:30
URI: http://repository-tnmgrmu.ac.in/id/eprint/13423

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