一例由巨蝮（Lachesis muta）咬伤引起的蛇咬伤病例：巴西伯南布哥州确诊病例报告。

A snakebite caused by a bushmaster (Lachesis muta): report of a confirmed case in State of Pernambuco, Brazil.

作者信息

Lima Pedro Henrique Santana de, Haddad Junior Vidal

机构信息

Centro de Assistência Toxicológica de Pernambuco, Secretaria Executiva de Assistência à Saúde, Recife, Pernambuco, Brazil.

Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, São Paulo, Brazil.

出版信息

Rev Soc Bras Med Trop. 2015 Sep-Oct;48(5):636-7. doi: 10.1590/0037-8682-0143-2015.

DOI:10.1590/0037-8682-0143-2015

PMID:26516981

Abstract

We report a case of envenomation caused by a bushmaster ( Lachesis muta) in a male child in State of Pernambuco, Brazil. The victim showed discrete local manifestations, but presented altered blood coagulation 2 hours after the bite. Ten ampoules of bothropic-lachetic antivenom therapy were administered, and 48 hours later, the patient showed discrete edema, pain, and ecchymosis around the bite and normal blood coagulation. The patient was discharged 5 days after the envenomation. The prompt administration of specific treatment was important for the favorable outcomes observed.

摘要

我们报告了巴西伯南布哥州一名男童被巨蝮（矛头蝮属）咬伤中毒的病例。受害者局部表现不明显，但咬伤后2小时出现凝血功能改变。给予了十支双蝮矛头蝮抗蛇毒血清进行治疗，48小时后，患者咬伤部位周围出现轻微水肿、疼痛和瘀斑，凝血功能恢复正常。中毒5天后患者出院。及时给予特异性治疗对取得良好疗效至关重要。