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眼镜王蛇咬伤——早期减压能否预防手指截肢？

King cobra bite - Can early decompression prevent digital amputation?

作者信息

Imran Rizwana, Vanat Qureish, Hausien Omar, Jose Rajive

机构信息

Department of Hands and Plastics Reconstructive Surgery, University Hospitals Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham B15 2TH, United Kingdom.

出版信息

JPRAS Open. 2020 Nov 17;27:12-16. doi: 10.1016/j.jpra.2020.11.004. eCollection 2021 Mar.

DOI:10.1016/j.jpra.2020.11.004
PMID:33299920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7704406/
Abstract

King cobra bites are extremely rare in the western world. These bites can be fatal due to the large volume of the venom injected. We report a case of digital ischaemia from a King cobra bite in a young man who was working in a zoo in Netherlands. He was protected from systemic envenomation as he was wearing a protective glove. However, his right index finger developed subsequent gangrene and he underwent a ray amputation. The current literature on the management of snake bites to hands is reviewed and the role of early decompression discussed.

摘要

眼镜王蛇咬伤在西方世界极为罕见。由于注入的毒液量很大，这些咬伤可能会致命。我们报告一例在荷兰一家动物园工作的年轻男子被眼镜王蛇咬伤后出现手指缺血的病例。他因戴着防护手套而未发生全身中毒。然而，他的右手食指随后发生坏疽，接受了截指手术。本文回顾了目前关于手部蛇咬伤治疗的文献，并讨论了早期减压的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/83863e58800e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/323ef3d31c33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/a6d962414763/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/fbf2f46c97b5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/83863e58800e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/323ef3d31c33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/a6d962414763/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/fbf2f46c97b5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/7704406/83863e58800e/gr4.jpg

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Relaxation incisions of venomous snake "Japanese mamushi" bites to the hand.毒蛇“日本蝮蛇”咬伤手部后的松弛切口
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Emergency treatment of a snake bite: Pearls from literature.蛇咬伤的紧急处理：文献精粹
眼镜王蛇与蛇咬伤中毒：论其自然史、人与蛇的关系及医学重要性 。 （原文句子似乎不完整，翻译可能会有些生硬，你可补充完整原文以便更准确翻译）
J Venom Anim Toxins Incl Trop Dis. 2022 Jan 5;27:e20210051. doi: 10.1590/1678-9199-JVATITD-2021-0051. eCollection 2021.
J Emerg Trauma Shock. 2008 Jul;1(2):97-105. doi: 10.4103/0974-2700.43190.
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