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出血性中风揭示蛇咬伤:一例报告

Hemorrhagic Stroke Revealing a Snake Bite: A Case Report.

作者信息

Ansoumane Hawa Keita, Mhaili Jihane, Boutakioute Badr, Ouali Idrissi Meriem, Idrissi El Ganouni Najat

机构信息

Radiology, Centre Hospitalier Universitaire Mohammed VI, Marrakech, MAR.

出版信息

Cureus. 2022 Jan 4;14(1):e20935. doi: 10.7759/cureus.20935. eCollection 2022 Jan.

Abstract

In Morocco, envenomations caused by viper bites and scorpion stings are frequent and associated with high lethality. It occurs mainly during the summer season with a peak between June and August. It is a medical emergency requiring intensive care. It is a life-threatening disease mainly due to the systemic hemorrhagic syndrome. Here, we present the clinical course of a patient in his 50s who suffered a snakebite and describe the neurological sequelae. The patient was admitted to the emergency room in a state of unconsciousness with gangrene on the right foot. An emergency brain scan showed meningeal hemorrhage and intracerebral hematomas. The biological assessment revealed disseminated intravascular coagulation. The evolution of the clinical course was rapidly unfavorable and the patient died within 24 hours of admission.

摘要

在摩洛哥,蝰蛇咬伤和蝎子蜇伤导致的中毒情况很常见,且致死率很高。这种情况主要发生在夏季,6月至8月达到高峰。这是一种需要重症监护的医疗紧急情况。它是一种主要由全身性出血综合征导致的危及生命的疾病。在此,我们呈现一名50多岁遭受蛇咬患者的临床病程,并描述其神经后遗症。患者因右脚坏疽处于昏迷状态被送入急诊室。紧急脑部扫描显示有脑膜出血和脑内血肿。生物学评估显示存在弥散性血管内凝血。临床病程进展迅速且不利,患者在入院后24小时内死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e45/8813157/879d329ef72e/cureus-0014-00000020935-i01.jpg

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本文引用的文献

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