Hudson B J
Madang General Hospital, Madang, Papua, New Guinea.
Aust N Z J Med. 1988 Oct;18(6):792-4. doi: 10.1111/j.1445-5994.1988.tb00183.x.
A 20-year-old Papua New Guinean male developed neuromuscular paralysis following a bite by a death adder (Acanthophis antarcticus). Ptosis persisted despite otherwise effective anti-venom therapy. The ptosis clinically resembled myasthenia gravis and improved after intravenous edrophonium. The role of anticholinesterase drugs in snake bite management is discussed.
一名20岁的巴布亚新几内亚男性在被一条死亡蝰蛇（Acanthophis antarcticus）咬伤后出现了神经肌肉麻痹。尽管抗蛇毒血清治疗有效，但上睑下垂仍然持续存在。临床上，这种上睑下垂类似于重症肌无力，静脉注射依酚氯铵后有所改善。本文讨论了抗胆碱酯酶药物在蛇咬伤治疗中的作用。
