妊娠期蛇咬伤中毒。文献综述。

Snake bite poisoning in pregnancy. A review of the literature.

作者信息

Dunnihoo D R, Rush B M, Wise R B, Brooks G G, Otterson W N

机构信息

Department of Obstetrics and Gynecology, Louisiana State University Medical Center, Shreveport.

出版信息

J Reprod Med. 1992 Jul;37(7):653-8.

PMID:1522574

Abstract

With our 2 cases, there are 30 reported cases in English of snake bite poisoning in pregnancy with some details presented and 20 cases without details, for a total of 50 cases. We reviewed the maternal and fetal outcomes in the 30 cases that had such information. Poisoning by members of the Crotalidae family (rattlesnakes, cotton-mouths [water moccasins] and copperheads) during pregnancy carries with it a fetal wastage rate of 43% and a maternal mortality rate of 10%. Pit viper bites cause a bleeding diathesis from the fact that the venom of these snakes contains a procoagulant that defibrinates the blood and leads to bleeding throughout the body.

摘要

在我们的2个病例中，英文报道的妊娠期间蛇咬伤中毒病例有30例，其中部分病例有详细信息，20例无详细信息，共计50例。我们回顾了30例有此类信息的病例的母婴结局。妊娠期间被蝰蛇科（响尾蛇、棉口蛇[水腹蛇]和铜头蛇）成员咬伤，胎儿流产率为43%，孕产妇死亡率为10%。蝮蛇咬伤会导致出血素质，因为这些蛇的毒液含有一种促凝剂，可使血液纤维蛋白原减少并导致全身出血。