
@article{ref1,
title="Snakebites in children in the densely populated city of Hong Kong: a 10-year survey",
journal="Acta paediatrica",
year="2004",
author="Hon, K. L. and Kwok, L. W. and Leung, T. F.",
volume="93",
number="2",
pages="270-272",
abstract="AIM: To review the pattern and characteristics of snakebites in children in rural Hong Kong. METHODS: A retrospective chart review was conducted. RESULTS: Seven cases of snakebite in children were reported. Eighty-six percent of the victims were male, and the majority of bites (86%) occurred on the left extremities. Green pit vipers (Trimeresurus albolabris) accounted for most of the snakebites. Local symptomatology was common. Swelling, pain and fang marks were documented in all cases. A mildly deranged clotting profile was found in 70% of patients. There was no incidence of systemic symptoms, cardiopulmonary complications or compartment syndrome. Victims arrived at the hospital at a median (range) time of 40 (10-70) min since the snakebite. Only one child received antivenin owing to severe progressive local symptoms under intensive care monitoring. The median hospital stay of the patients was 4 d. The hands and feet of adolescent boys (n = 6) seem to be particularly prone to being bitten. CONCLUSION: Children should be discouraged to play in areas where snakes may hide, especially in the evening in summer to autumn. They should wear protective footwear.<p /><p>Language: en</p>",
language="en",
issn="0803-5253",
doi="",
url="http://dx.doi.org/"
}