Currie B, Fitzmaurice M, Oakley J
Department of Clinical Sciences, Faculty of Medicine, University of Papua New Guinea, Boroko.
Med J Aust. 1988 May 16;148(10):522-5. doi: 10.5694/j.1326-5377.1988.tb99464.x.
A case of the reversal of death-adder (Acanthophis antarcticus) neurotoxicity by treatment with neostigmine methylsulphate in a Papua New Guinean villager is described. While antivenom remains the mainstay in the treatment of snake-bite envenomation, the possible role of anticholinesterase therapy for death-adder bites in Papua New Guinea is discussed. In addition, some problems with first-aid management are outlined.
本文描述了在巴布亚新几内亚一名村民身上,通过使用甲基硫酸新斯的明治疗成功逆转死亡蝰蛇(Acanthophis antarcticus)神经毒性的病例。虽然抗蛇毒血清仍是治疗蛇咬伤中毒的主要手段,但本文也讨论了抗胆碱酯酶疗法在巴布亚新几内亚治疗死亡蝰蛇咬伤中可能发挥的作用。此外,还概述了急救处理中的一些问题。