Talanow D, Rohrbach M
Bergmannsheil und Kinderklinik Buer gGmbH, Klinik für Plastische und Ästhetische Chirurgie, Handchirurgie, Intensivstation für Schwerbrandverletzte, Schemerweg 4, Gelsenkirchen.
Handchir Mikrochir Plast Chir. 2011 Feb;43(1):60-2. doi: 10.1055/s-0030-1269887. Epub 2011 Feb 14.
We report on the snakebite injury of a 27-year-old male patient by a Saharan horned viper in his left middle finger. General symptoms (thrombocytopenia, fibrinolysis and rhabdomyolysis) were leading and required observation at close intervals on intensive care unit and the application of a specific antiserum. At the finger a local necrectomy for the haemorrhagic necrosis was needed, followed by split-skin grafting for tissue coverage.
我们报告了一名27岁男性患者被撒哈拉角蝰咬伤左手无名指的病例。主要症状(血小板减少、纤维蛋白溶解和横纹肌溶解)较为严重,需要在重症监护病房密切观察,并使用特异性抗蛇毒血清。手指部位因出血性坏死需要进行局部坏死组织切除,随后进行植皮以覆盖组织。