Carbajal UJA, Pastrana HE, Chávez RML

Language: Spanish
References: 20
Page: 97-101
PDF size: 122.15 Kb.

ABSTRACT

This study was done in order to determinate the relation between clinical manifestations, serum electrolytes measurements and electrocardiographic traces of patients bite by scorpions at the moment they went in to the emergency room.
We evaluated 71 patients who completed the criterions of inclusion the incidence was of 16.74/1000 persons affiliated to our institution and prevalence of 8.73/1,000 cases predominantly during summer with 13.79/1,000 cases. The mean age was of 21.24 ± 12.1 years old, 78.87% of accident’s happen at home. Moderate symptoms were present in 81.69% of patients, severe in 9.85% and low in 8.45%, highest incidence happens in children of 6.26 ± 4 years old (85.71%), there were no deceased.
The average of serum electrolytes titters was of 136.76 ± 8.22 mEq/L Na, 5.03 ± 1.73 mEq/L K and 8.72 ± 1.63 mg/dL Ca. In relation to the symptoms, the severe ones had a hyperkalemia from low to moderate (5.96 ± 2.05 mEq/L). We did not find any difference, between the medias in statistic F of Anova proof.
Alterations of electrocardiographic traces only consisted of arrhythmia (12.82%), segments were, normal (QTc: 0.39 ± 0.04" QRS: 0.06 ± 0.01" and 0.3 ± 0.1 mmv T wave).
Metabolical changes observed didn’t have specific with clinical symptoms and signs. Low to moderate hyperkalemia and relative hyponatremia without electrocardiographic signs are present in severe, disease. We recommend to include specific: treatment for correction of this metabolic changes.

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