Ribeiro L A, Puorto G, Jorge M T
Departamento de Clínica Médica, Universidade Federal de Uberlândia, MG, Brazil.
Toxicon. 1999 Jun;37(6):943-8. doi: 10.1016/s0041-0101(98)00191-3.
Less than 10 cases of bites by Philodryas olfersii (Colubridae) have been reported in the literature. In this study, 43 patients admitted to the Instituto Butantan, São Paulo, Brazil, with the diagnosis of P. olfersii bite from 1982 to 1990 were reviewed. The 32 male (74.4%) and 11 female (25.6%) patients presented mainly from November to February (65%). The most common clinical features were local pain (37.2%), swelling (34.9%), erythema (18.6%) and ecchymosis (9.3%). The 20 minute whole blood clotting test was performed in 11 patients and in all of them the blood was coagulable. Most of the accidents occurred during the hottest months and during daylight hours. The most common bite site was the hands. Severe envenoming is not frequent in these accidents.
文献中报道的被奥氏锦蛇（游蛇科）咬伤的病例不到10例。在本研究中，回顾了1982年至1990年期间巴西圣保罗布坦坦研究所收治的43例诊断为被奥氏锦蛇咬伤的患者。32例男性患者（74.4%）和11例女性患者（25.6%）主要在11月至2月就诊（65%）。最常见的临床特征是局部疼痛（37.2%）、肿胀（34.9%）、红斑（18.6%）和瘀斑（9.3%）。对11例患者进行了20分钟全血凝血试验，所有患者的血液均可凝固。大多数事故发生在最热的月份和白天。最常见的咬伤部位是手部。在这些事故中，严重中毒并不常见。
