A prospective study were carried out in 69 patients (mean age: 9,22) with venomous snakebite at Pediatric Hospital N01 from 5/2002-5/2003. The male to female ratio was 2 to1. 90% of these patients was from provinces. Most of venomous snakes were: Trimeresurus sp, Colloselasma shodostoma, Naja Siamensis. 80% cases were classified as moderate and severe envenomation. Local infection and necrosis acquired more than 30%. 25% cases had blisters. Local wound spread over at least 1 joint in 75% cases, 42% had signs of hemorrhage, 23.2% developed neurotoxicity and 18.8% had manifestations of respiratory distress, mostly caused by Elapidae. 25% of them had systematic signs. 62.3% had coagulation disorder. Most of cases had improper first aid. 68% had indication for antivenom but only 38% of patients had been given antivenom as a specific treatment. Patients with blisters at bite sites tended to get more local infection, necrosis, spontaneous bleeding and DIC
Snake Bites ; Snakes ; Child