Welch Dustin M, Sauer Cherokee, Martin Justin M, Juergens Andrew L
Department of Emergency Medicine, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Texas A&M Health Science Center, College Station, Texas.
Proc (Bayl Univ Med Cent). 2021 Jun 4;34(5):634-635. doi: 10.1080/08998280.2021.1930844. eCollection 2021 Sep.
Open fractures and rattlesnake envenomations are two emergencies that each require emergent intervention and treatment. While each is common, when they occur simultaneously on the same extremity, it creates a syndrome that is quintessential Central Texas. We present the case of a 13-year-old boy who sustained a lower-extremity rattlesnake envenomation with concomitant open tibia and fibula fractures after being thrown from an all-terrain vehicle. The envenomation from the snake bite compelled us to first treat his developing coagulopathy with a delayed operative management of his fractures.
开放性骨折和响尾蛇咬伤是两种都需要紧急干预和治疗的急症。虽然每种情况都很常见，但当它们同时发生在同一肢体上时，就会形成一种典型的得克萨斯州中部综合征。我们报告一例13岁男孩的病例，他从一辆全地形车上摔下后，下肢被响尾蛇咬伤，同时伴有胫腓骨开放性骨折。蛇咬导致的中毒迫使我们首先治疗他逐渐发展的凝血病，而对其骨折进行延迟手术处理。
