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加蓬咝蝰咬伤:韩国一例非本土蛇类造成的意外伤害。

Gaboon viper envenomation: An unexpected injury by non-indigenous snake in South Korea.

作者信息

Min Young Gi, Ham Seung Ho, Jung Yoon Seok, Choi Sangchun

机构信息

Department of Emergency Medicine, Ajou University School of Medicine, Suwon, South Korea.

出版信息

Turk J Emerg Med. 2018 Apr 27;18(2):75-77. doi: 10.1016/j.tjem.2018.04.003. eCollection 2018 Jun.

Abstract

In recent years, various kinds of non-indigenous snakes have become popular as domestic pets globally. If the snake is highly venomous, this would be a potentially life-threatening emergency for breeders. In such a case, the specific antidote should be administered immediately for saving the life. "Salmusa" genus (e.g. Gloydius genus) is a representative indigenous venomous snake in South Korea. Therefore, only one antidote for the "Salmusa" genus is commercially available in South Korea. The Gaboon viper () inhabits in the rainforests of sub-Saharan Africa. Its venom is very toxic for mammals. Victims of a Gaboon viper bite could result in die unless the appropriate antidote is administered timely. We report a case of a 20-year-old male who completely recovered from a Gaboon viper envenomation after receiving "Salmusa" antivenom (Kovax). This report reminds us that establishing an inventory of antidotes for potential toxic non-indigenous organisms is needed to enable successful treatment of emergency situations for public health.

摘要

近年来,各种外来蛇类在全球范围内作为家养宠物越来越受欢迎。如果蛇是剧毒的,这对饲养者来说可能是一个危及生命的紧急情况。在这种情况下,应立即使用特定的解毒剂来挽救生命。“蝮蛇属”(如亚洲蝮属)是韩国本土的一种代表性毒蛇。因此,韩国市面上只有一种针对“蝮蛇属”的解毒剂。加蓬咝蝰生活在撒哈拉以南非洲的雨林中。其毒液对哺乳动物毒性极强。加蓬咝蝰咬伤的受害者若不及时使用适当的解毒剂可能会死亡。我们报告一例20岁男性,在接受“蝮蛇属”抗蛇毒血清(Kovax)后,从加蓬咝蝰毒液中毒中完全康复。本报告提醒我们,需要建立潜在有毒外来生物的解毒剂清单,以便成功应对公共卫生紧急情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24f6/6005917/b71b826baf9a/gr2.jpg

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