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[杜氏响尾蛇(菱斑响尾蛇)咬伤后的心肌病变。一例报告]

[Myocardial lesions after snake bites by the Crotalus durissus terrificus species (rattlesnake). A case report].

作者信息

de Siqueira J E, Higuchi M de L, Nabut N, Lose A, Souza J K, Nakashima M

机构信息

Hospital Universitário de Londrina, FMUSP.

出版信息

Arq Bras Cardiol. 1990 May;54(5):323-5.

PMID:2288520
Abstract

Extensive and severe myocardial lesions are reported in a patient who died due to snakebite (Crotalus Durissus Terrificus). These lesions are documented by clinical, electrocardiographic, enzymatic and histological evidences. The main pathological features are represented by sarcoplasmatic vacuoles, densely clumped myofibrils and amorphous acidophilic mass into the cardiac fibers. These lesions are identical to those which have already been described in skeletal muscle after snakebite. This seems to be the first case report that shows undoubt myocardial lesions due to snakebite with anatomopathological documentation.

摘要

据报道,一名因被蛇(杜氏侏膨蝰)咬伤而死亡的患者出现广泛且严重的心肌损伤。这些损伤通过临床、心电图、酶学和组织学证据得以证实。主要病理特征表现为肌浆空泡、肌原纤维密集聚集以及心肌纤维内出现无定形嗜酸性物质。这些损伤与蛇咬伤后骨骼肌中已描述的损伤相同。这似乎是首例有解剖病理学记录显示因蛇咬伤导致明确心肌损伤的病例报告。

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