Thomas D K, Budhoo E J, Mencia M M, Ali T F, Santana D
Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies, St Augustine; Port-of-Spain General Hospital, Port-of-Spain, Trinidad and Tobago, West Indies;54 Plover Street, Lange Park, Chaguanas, Trinidad and Tobago, West Indies.
Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies, St Augustine; Port-of-Spain General Hospital, Port-of-Spain, Trinidad and Tobago, West Indies.
West Indian Med J. 2014 Aug;63(4):384-7. doi: 10.7727/wimj.2013.261. Epub 2014 May 19.
We report a case of a 16-year old male patient who sustained a poisonous bite from a mapepire balsain snake on the dorsum of his left hand. The subject presented within one hour of envenomation and subsequently developed clinical features of acute compartment syndrome in the involved upper limb. Early diagnosis and emergency fasciotomy effectively treated his condition. Aggressive physiotherapy coupled with this ensured best functional outcome.
我们报告一例16岁男性患者,其左手背部被马佩皮尔巴尔桑蛇咬伤中毒。该患者在中毒后1小时内就诊,随后受累上肢出现急性骨筋膜室综合征的临床特征。早期诊断和急诊筋膜切开术有效治疗了他的病情。积极的物理治疗加上这一点确保了最佳的功能预后。