Department of Plastic, Hand-, Reconstructive Surgery, Burn Center, University of Lübeck, Germany.
Scand J Trauma Resusc Emerg Med. 2010 Sep 20;18:50. doi: 10.1186/1757-7241-18-50.
Snakebite envenomation is an uncommon condition in the northern hemisphere, but requires high vigilance with regard to both the systemic effects of the venom and the locoregional impact on the soft tissues. Bites from the adder, Vipera Berus, may have serious clinical consequences due to systemic effects. A case of a 44-year-old man is reported. The patient was bitten in the right hand. He developed fasciotomy-requiring compartment syndrome of the upper limb. Recognition of this most seldom complication of an adder bite is vital to save the limb. We recommend that the classical signs and symptoms of compartment syndrome serve as indication for surgical decompression.
蛇咬伤在北半球较为少见，但需要高度警惕毒液的全身作用和对软组织的局部影响。蝰蛇咬伤可能因全身作用而产生严重的临床后果。本文报告了 1 例 44 岁男性患者的病例。患者右手被咬伤，上肢发生需要筋膜切开减压的筋膜间室综合征。认识到这种蝰蛇咬伤最罕见的并发症对于挽救肢体至关重要。我们建议将筋膜间室综合征的典型体征和症状作为手术减压的指征。
