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一名22岁男性可能被沙漠黑蛇咬伤的病例报告,该咬伤导致严重虚弱和呼吸窘迫。

Case report of probable desert black snake envenomation in 22-year-old male causing profound weakness and respiratory distress.

作者信息

Lauer Cynthia, Zickgraf Thomas L, Weisse Martin E

机构信息

Department of Surgery, Martin Army Community Hospital, Columbus, GA 31906, USA.

出版信息

Wilderness Environ Med. 2011 Sep;22(3):246-9. doi: 10.1016/j.wem.2011.04.003.

Abstract

We describe a case of a 22-year-old male who presented to our facility 1 hour after a snake bite, which he identified as the desert black snake. He presented with severe weakness and respiratory distress. He was treated with polyvalent antivenom and observed in the Intensive Care Unit (ICU) with resolution of his respiratory symptoms. He developed paresthesias locally around his wound and later complained of diplopia. Two days later, he had total resolution of his symptoms. This is one of the only clinical reports of neurotoxic effects after Walterinnesia morgani envenomation.

摘要

我们描述了一例22岁男性病例,他在被蛇咬伤1小时后前来我院,他称咬伤他的是沙漠黑蛇。他出现了严重的虚弱和呼吸窘迫。他接受了多价抗蛇毒血清治疗,并在重症监护病房(ICU)接受观察,呼吸症状得到缓解。他伤口周围局部出现感觉异常,后来又抱怨出现复视。两天后,他的症状完全消失。这是关于摩根氏沃尔特蛇咬伤后神经毒性作用的仅有的临床报告之一。

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