Acott C J
Department of Anaesthesia and Intensive Care, Rockhampton Base Hospital, QLD.
Med J Aust. 1988;149(11-12):709-10. doi: 10.5694/j.1326-5377.1988.tb120833.x.
A non-fatal case of acute renal failure after envenomation by a common brown snake (Pseudonaja textilis) is described. The renal failure required dialysis but resolved rapidly. There were no signs of neurotoxic envenomation or myoglobinuria. A mild disturbance of coagulation was noted with severe thrombocytopenia. This is the first documented case of renal failure (acute tubular necrosis) after envenomation by the common brown snake to present with this clinical picture. It is also the first clinical evidence that an Australian snake venom may contain a direct nephrotoxic component.
本文描述了一例被普通棕蛇（细鳞太攀蛇）咬伤后发生非致命性急性肾衰竭的病例。该肾衰竭需要进行透析，但恢复迅速。没有神经毒性中毒或肌红蛋白尿的迹象。注意到有轻度凝血功能障碍伴严重血小板减少。这是首例有文献记载的被普通棕蛇咬伤后出现这种临床表现的肾衰竭（急性肾小管坏死）病例。这也是澳大利亚蛇毒可能含有直接肾毒性成分的首个临床证据。
