蛇咬伤救治规范 SpecificationsfortreatmentofsnakebiteICS11.160 C05 团体标准 T/CADERM3002-2019 2019-09-06发布 2019-09-20实施 中国医学救援协会发布全国团体标准信息平台 T/CADERM3002—2019 目次 前言.......................................................................................................................................................................1 引言.......................................................................................................................................................................2 1范围...................................................................................................................................................................3 2规范性引用文件...............................................................................................................................................3 3术语和定义.......................................................................................................................................................3 4蛇咬伤救治总则...............................................................................................................................................5 5蛇毒种类与毒蛇分类.......................................................................................................................................5 5.1蛇毒种类...............................................................................................................................................5 5.2毒蛇分类...............................................................................................................................................7 6中毒机制...........................................................................................................................................................8 6.1概述........................................................................................................................................................8 6.2中毒机制..............................................................................................................................................8 6.3细胞毒素中毒机理.................................................................................................................................9 7临床表现...........................................................................................................................................................9 7.1局部症状...............................................................................................................................................9 7.2全身表现...............................................................................................................................................9 8诊断与鉴别诊断.............................................................................................................................................10 8.1蛇咬伤的诊断程序............................................................................................................................10 8.2鉴别诊断...........................................................................................................................................11 9蛇咬伤急救...................................................................................................................................................12 9.1蛇咬伤救治流程..................................................................................................................................12 9.2蛇咬伤院前急救..................................................................................................................................13 9.3蛇咬伤院内处理.................................................................................................................................14 参考文献...........................................................................................................................................................18 全国团体标准信息平台 T/CADERM3002—2019 1前言 本标准按照GB/T1.1-2009给出的规则起草。 本标准由中国医学救援协会动物伤害救治分会和中国医学救援协会标准化工作委员会 提出并归口。 本标准起草单位：中国创伤救治联盟、北京大学创伤医学中心、北京大学人民医院、北 京市和平里医院、广西医科大学第一