CRT, Institut Pasteur, Paris, France.
MERIT, IRD, Université Paris 5, Sorbonne Paris Cité, Paris, France.
Clin Toxicol (Phila). 2021 Mar;59(3):179-184. doi: 10.1080/15563650.2020.1853145. Epub 2020 Dec 2.
bites are rare and generally mild, but a few cases can be life threatening. Methods: Description of bite was searched in medical literature. We present a synthesis of clinical and biomedical effects of envenomation by sp. based on 22 well identified cases described in medical literature. Three life-threatening syndromes, concomitant or not, may be involved: (a) angioedema which can lead to respiratory tract obstruction, (b) significant fluid losses due to diarrhea, vomiting and sweating, associated with hypokalemia and sometimes metabolic acidosis, and (c) atrioventricular conduction disorders simulating cardiac ischemia. bite are quite rare and generally mild. However, few severe cases may require emergency resuscitation. There is no antivenom, and the treatment is only symptomatic and supportive.
咬伤很少见，通常症状较轻，但也有少数病例可能危及生命。方法：在医学文献中搜索有关咬伤的描述。我们根据医学文献中描述的 22 例明确的病例，综合了蛇咬伤的临床和生物医学影响。三种危及生命的综合征可能同时或不同时发生：(a)血管性水肿，可导致呼吸道阻塞；(b)由于腹泻、呕吐和出汗导致大量液体流失，伴有低钾血症，有时还伴有代谢性酸中毒；(c)房室传导障碍模拟心肌缺血。蛇咬伤较为罕见，通常症状较轻。然而，少数严重的病例可能需要紧急复苏。目前尚无抗蛇毒血清，治疗仅为对症和支持性治疗。
