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毒蛛咬伤危及妊娠:五例报告

Loxoscelism threatening pregnancy: five cases.

作者信息

Anderson P C

机构信息

Department of Dermatology, University of Missouri-Columbia.

出版信息

Am J Obstet Gynecol. 1991 Nov;165(5 Pt 1):1454-6. doi: 10.1016/0002-9378(91)90389-9.

DOI:10.1016/0002-9378(91)90389-9
PMID:1957879
Abstract

Envenomation by the spider Loxosceles reclusa in five pregnant women proved to have no sustained adverse effects on mother or baby when managed conservatively only with low-dose prednisone. A striking toxic erythema of the skin, common with the bite of the spider, caused the greatest discomfort and concern for the patients but proved to be entirely tractable. No episodes of hemolysis, disorders of coagulation, or renal damage were discovered. There is no clinical evidence of any special risk during pregnancy in the event of loxoscelism.

摘要

五只怀孕母蜘蛛被隐居褐蛛咬伤,仅采用小剂量泼尼松进行保守治疗后,并未对母婴产生持续的不良影响。蜘蛛咬伤常见的显著皮肤毒性红斑给患者带来了极大不适和担忧,但事实证明完全可以控制。未发现溶血、凝血功能障碍或肾损伤病例。没有临床证据表明怀孕母蜘蛛发生毒蛛中毒时有任何特殊风险。

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