Kumar Susheel, Sharma Aman, Sodhi Kushaljit S, Wanchu Ajay, Khandelwal Niranjan, Singh Surjit
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India.
Trop Doct. 2012 Apr;42(2):116-7. doi: 10.1258/td.2011.110281. Epub 2012 Feb 8.
Snakebites are estimated to affect more than 2.5 million people annually, of whom more than 100,000 die. Viper bites cause various systemic symptoms such as: coagulopathy; haemolysis; acute renal failure; a generalized increase in capillary permeability; rhabdomyolysis; and neurotoxicity. Wide spectrums of vascular complications are seen. We report the case of a patient developing gangrenous changes in a lower limb along with the development of perinepheric and retroperitoneal haematoma with acute cortical necrosis of the kidneys.
据估计，每年有超过250万人被蛇咬伤，其中超过10万人死亡。蝰蛇咬伤会引发各种全身症状，如：凝血病；溶血；急性肾衰竭；毛细血管通透性普遍增加；横纹肌溶解；以及神经毒性。还可见广泛的血管并发症。我们报告了一例患者，其下肢出现坏疽性改变，同时伴有外周和腹膜后血肿形成以及急性肾皮质坏死。
