用蝰蛇抗蛇毒血清治疗极北蝰咬伤后的严重全身中毒

Severe Systemic Envenomation Following Vipera berus Bite Managed with ViperaTAb Antivenom.

作者信息

Hamilton Jessica, Kause Juliane, Lamb Thomas

机构信息

General Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.

出版信息

Wilderness Environ Med. 2019 Mar;30(1):56-58. doi: 10.1016/j.wem.2018.08.002. Epub 2018 Oct 29.

DOI:10.1016/j.wem.2018.08.002

PMID:30385100

Abstract

Bites by the European adder (Vipera berus) are a rare medical emergency in the UK with 20 to 50% of an estimated 50 to 200 cases per year necessitating treatment with antivenom. We present a case demonstrating both severe systemic and local effects necessitating out of hospital resuscitation, vasopressor support, and prolonged rehabilitation. Hemodynamic stability was restored promptly after administration of ViperaTAb antivenom, the first published case of its use in the UK.

摘要

在英国，被欧洲蝰蛇（极北蝰）咬伤是一种罕见的医疗急症，每年估计有50至200例病例，其中20%至50%需要使用抗蛇毒血清进行治疗。我们报告一例病例，该病例显示出严重的全身和局部影响，需要在院外进行复苏、血管加压药支持和长期康复治疗。在使用ViperaTAb抗蛇毒血清后，血流动力学迅速恢复稳定，这是该抗蛇毒血清在英国首次发表的使用病例。