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利用非侵入性措施解决响尾蛇咬伤后的骨筋膜室综合征

Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures.

作者信息

Gold Barry S, Barish Robert A, Dart Richard C, Silverman Ronald P, Bochicchio Grant V

机构信息

Maryland Poison Center, University of Maryland at Baltimore, Baltimore, MD , USA.

出版信息

J Emerg Med. 2003 Apr;24(3):285-8. doi: 10.1016/s0736-4679(02)00762-x.

Abstract

Western diamondback rattlesnake envenomation is usually managed by administration of neutralizing antivenom. The development of compartment syndrome is a rare complication that has sparked considerable debate regarding medical vs. surgical management. We report a case of compartment syndrome resulting from a rattlesnake envenomation, which responded to large doses of neutralizing antivenom given concomitantly with mannitol and hyperbaric oxygen. This regimen obviated the need for surgical fasciotomy and its associated morbidity.

摘要

西部菱斑响尾蛇咬伤通常通过注射中和抗蛇毒血清进行治疗。骨筋膜室综合征的发生是一种罕见的并发症,这引发了关于药物治疗与手术治疗的大量争论。我们报告了一例由响尾蛇咬伤导致的骨筋膜室综合征病例,该病例通过大剂量中和抗蛇毒血清与甘露醇和高压氧联合治疗后得到缓解。这种治疗方案避免了进行外科筋膜切开术及其相关的发病率。

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