Panicker J N, Madhusudanan S
Department of Medicine Medical College, Thiruvananthapuram, Kerala 695 011.
J Assoc Physicians India. 2000 Jul;48(7):744-5.
Neurological deficits can occur following viper bite. It is usually due to intracerebral or subarachnoid bleed as a result of depletion of clotting factors. A healthy 21-year old male developed motor aphasia and right hemiplegia within two hours of being bit by a viper. Brain CT scan revealed a left frontal lobe infarction. The possible mechanisms for cerebral infarction in this patient are hypotension, endothelial injury, hypercoagulability and vascular.
蝰蛇咬伤后可出现神经功能缺损。这通常是由于凝血因子耗竭导致的脑内或蛛网膜下腔出血所致。一名21岁健康男性在被蝰蛇咬伤两小时内出现运动性失语和右侧偏瘫。脑部CT扫描显示左额叶梗死。该患者脑梗死的可能机制为低血压、内皮损伤、高凝状态和血管因素。
