Meissner A, Hausmann B, Linn C, Piepgras P, Mönig H, Wronski R, Bruhn H D
I. Medizinische Universitätsklinik Kiel.
Dtsch Med Wochenschr. 1989 Sep 29;114(39):1484-7. doi: 10.1055/s-2008-1066786.
A defibrination syndrome developed in two men (aged 51, and 29 years old) within two hours of having been bitten by vipers Echis carinatus and Agkistrodon halys, respectively. In both the syndrome was characterized by afibrinogenemia with prolongation of the thrombin time, presence of fibrin monomers and split products of fibrinogen. Haemorrhagic signs included oral mucosa bleeding and macrohematuria. Specific serum was administered 9 and 16 hours, respectively, after the bite and achieved normalization of all clotting values within 48 hours.
两名男子(分别为51岁和29岁)在被锯鳞蝰蛇和蝮蛇咬伤后两小时内出现了去纤维蛋白原综合征。在这两名患者中,该综合征的特征是无纤维蛋白原血症,凝血酶时间延长,存在纤维蛋白单体和纤维蛋白原裂解产物。出血迹象包括口腔黏膜出血和肉眼血尿。分别在咬伤后9小时和16小时给予特异性血清,所有凝血指标在48小时内恢复正常。