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Bothrops属蛇咬伤后的颅内出血

Intracranial Bleeding Following Bothrops sp. Snakebite.

作者信息

Silveira Gabriela G, Machado Carolina R C, Tuyama Mari, Lima Marco A

机构信息

National Institute of Infectious Diseases Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

出版信息

Neurologist. 2016 Jan;21(1):11-2. doi: 10.1097/NRL.0000000000000067.

Abstract

INTRODUCTION

The Bothrops sp. venom has proteolytic, hemorrhagic, and coagulant activity. Clinical manifestations range from local ecchymosis to severe hemorrhage in distant organs. However, stroke is rarely reported.

CASE REPORT

A 52-year-old man who presented with an intracranial bleeding as the sole manifestation of Bothrops sp. snakebite.

CONCLUSIONS

Although uncommon, Bothrops snakebite may present as isolated intracranial bleeding. This case illustrates the importance of the correct identification of the snake as poisonous and the institution of the adequate medical care in a short period of time.

摘要

引言

矛头蝮属蛇毒具有蛋白水解、出血和凝血活性。临床表现从局部瘀斑到远处器官的严重出血不等。然而,中风很少被报道。

病例报告

一名52岁男性,以颅内出血作为矛头蝮属蛇咬伤的唯一表现。

结论

尽管不常见,但矛头蝮蛇咬伤可能表现为孤立性颅内出血。本病例说明了正确识别有毒蛇类以及在短时间内提供适当医疗护理的重要性。

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