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尖吻蝮蛇咬伤后的血栓性微血管病

Thrombotic microangiopathy following hump-nosed viper ' envenomation.

作者信息

Puthra Shiran, Pirasath Selladurai, Hemal Sugathapala Athwel Gamarallage, Gnanathasan Ariaranee

机构信息

Colombo South Teaching Hospital - Kalubowila, Dehiwala-Mount Lavinia, Sri Lanka.

Professorial Medical Unit, University of Colombo and National Hospital of Sri Lanka, Colombo, Sri Lanka.

出版信息

SAGE Open Med Case Rep. 2020 Sep 10;8:2050313X20944308. doi: 10.1177/2050313X20944308. eCollection 2020.

DOI:10.1177/2050313X20944308
PMID:32963785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7488610/
Abstract

The hump-nosed vipers which compromise ' and have been highly venomous snakes and and are indigenous to Sri Lanka and is endemic to Sri Lanka and India. The clinical presentations range from local swelling, blistering and necrosis at the site of bite with distinct fang marks to systemic envenomations such as coagulopathy, thrombotic microangiopathy, acute kidney injury and death in severe cases. Here, we report a case of thrombotic microangiopathy following hump-nosed viper ' bite.

摘要

锯鳞蝰是剧毒蛇类，原产于斯里兰卡，在斯里兰卡和印度为特有种。临床表现从咬伤部位出现局部肿胀、水疱和坏死并有明显牙痕，到严重情况下出现全身中毒症状，如凝血病、血栓性微血管病、急性肾损伤甚至死亡。在此，我们报告一例锯鳞蝰咬伤后出现血栓性微血管病的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7488610/b16f05c9573c/10.1177_2050313X20944308-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7488610/b16f05c9573c/10.1177_2050313X20944308-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7488610/b16f05c9573c/10.1177_2050313X20944308-fig1.jpg

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