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卡塔尔一例沙漠蝰蛇咬伤中毒的病例报告

Experience of Snakebite Envenomation by a Desert Viper in Qatar.

作者信息

Elmoheen Amr, Salem Waleed Awad, Haddad Mahmoud, Bashir Khalid, Thomas Stephen H

机构信息

Department of Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.

Weill Cornell Medical College in Qatar, Doha, Qatar.

出版信息

J Toxicol. 2020 Oct 12;2020:8810741. doi: 10.1155/2020/8810741. eCollection 2020.

Abstract

Crotaline and elapid snakebites are reported all over the world as well as in the Middle East and other countries around this region. However, data regarding snakebites and their treatment in Qatar are limited. This review paper is going to investigate the presentation and treatment of snakebite in Qatar. A good assessment helps to decide on the management of the snakebites envenomation. Antivenom and conservative management are the mainstays of treatment for crotaline snakebite. Point-of-care ultrasound (POCUS) has been suggested to do early diagnosis and treatment of soft tissue problems, such as edema and compartment syndrome, after a snakebite. The supporting data are not sufficient regarding the efficiency of POCUS in diagnosing the extent and severity of tissue involvement and its ultimate effect on the outcome. Further research is suggested in this case. Systemic complications, such as bleeding diathesis, can be managed by administering clotting factors and platelets.

摘要

世界各地以及中东和该地区周边其他国家均有蝰蛇和眼镜蛇咬伤的报告。然而,卡塔尔有关蛇咬伤及其治疗的数据有限。这篇综述论文将调查卡塔尔蛇咬伤的临床表现及治疗情况。良好的评估有助于决定蛇咬伤中毒的处理方式。抗蛇毒血清和保守治疗是蝰蛇咬伤治疗的主要方法。有人建议使用即时超声(POCUS)对蛇咬伤后的软组织问题,如水肿和骨筋膜室综合征,进行早期诊断和治疗。关于POCUS在诊断组织受累程度和严重性及其对预后的最终影响方面的有效性,支持数据并不充分。在这种情况下,建议进一步开展研究。全身性并发症,如出血素质,可通过输注凝血因子和血小板来处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec30/7576367/9b38c70d14ce/JT2020-8810741.001.jpg

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