矛头蝮蛇咬伤：一个错误的决定如何导致慢性残疾：病例报告
Bothrops atrox Snakebite: How a Bad Decision May Lead to a Chronic Disability: A Case Report.
作者信息
Sachett Jacqueline de Almeida Gonçalves, Val Fernando F, Alcântara João A, Cubas-Vega Nadia, Montenegro Christielle S, da Silva Iran M, de Souza Thiago G, Santana Monique F, Ferreira Luiz C L, Monteiro Wuelton M
机构信息
Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
出版信息
Wilderness Environ Med. 2020 Sep;31(3):317-323. doi: 10.1016/j.wem.2020.03.001. Epub 2020 May 24.
Snakebites are a neglected and underestimated global health hazard. In the Brazilian Amazon, Bothrops snakebites are the most prevalent and may lead to severe complications. Here we describe a severe case of Bothrops atrox snakebite that, owing to delayed medical assistance, presented with renal and respiratory failure, compartment syndrome, and tissue necrosis. After several fasciotomy surgeries, the patient survived; however, he showed significant functional disability. Prompt management of snake envenomation would aid in the early diagnosis of local and systemic complications and, consequently, would result in a better functional outcome with improved quality of life.
蛇咬伤是一种被忽视和低估的全球健康危害。在巴西亚马逊地区，矛头蝮蛇咬伤最为常见，且可能导致严重并发症。在此，我们描述一例严重的矛头蝮蛇咬伤病例，由于医疗救助延迟，患者出现了肾衰竭、呼吸衰竭、骨筋膜室综合征和组织坏死。经过多次筋膜切开术，患者存活下来；然而，他出现了明显的功能残疾。及时处理蛇毒中毒有助于早期诊断局部和全身并发症，从而带来更好的功能预后和更高的生活质量。
Zotero 插件