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矛头蝮多价 F(ab')2 抗蛇毒血清治疗红尾鵟()。

Crotalid Polyvalent F(ab)2 Antivenom Treatment in a Red-Tailed Hawk ().

机构信息

William T. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, Davis, CA 95616, USA.

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, CA 95616, USA.

出版信息

J Avian Med Surg. 2022 May;36(1):63-69. doi: 10.1647/21-00002.

DOI:10.1647/21-00002
PMID:35526166
Abstract

Envenomation in avian species can result in death, with few cases of successful treatment described. A juvenile, wild-caught, intact female red-tailed hawk () used in falconry was presented for emergency evaluation after being bitten by a Northern Pacific rattlesnake () approximately 2 hours before presentation. On presentation, the bird was quiet, alert, and responsive, with moderate swelling and discomfort of the digits on the right foot. Complete blood count (CBC) and plasma biochemistry abnormalities included a regenerative left shift, severe lymphopenia, and a moderate hypoproteinemia characterized by moderate hypoalbuminemia. Analgesic and antibiotic medications were administered during hospitalization. In addition, 5 mL of VenomVet was administered intravenously with crystalloid fluids over 60 minutes; no adverse effects were noted secondary to infusion. Improvement in the swelling was observed immediately after antivenom administration and nearly resolved within 12 hours. Complete resolution of digital swelling with no discomfort on palpation of that foot was observed 1 week after initial presentation. Blood collected at the 1 week reexamination was submitted for a CBC and plasma biochemistry panel. The results of the CBC revealed a reduced regenerative left shift, increased heterophil count, and a moderate monocytosis; the lymphopenia was resolved. A mild hypoalbuminemia still persisted. Ten months after presentation, the bird was reported to be doing well with no changes in function of the right foot and subsequently released from captivity.

摘要

鸟类的毒液中毒可导致死亡,成功治疗的案例很少。一只用于猎鹰的野生幼年完整雌性红尾鹰 () 被太平洋响尾蛇 () 咬伤约 2 小时后,因紧急情况接受评估。就诊时,这只鸟安静、警觉且反应灵敏,右脚的脚趾有中度肿胀和不适。全血细胞计数 (CBC) 和血浆生化异常包括左移再生、严重淋巴细胞减少症和中度低蛋白血症,表现为中度低白蛋白血症。住院期间给予镇痛和抗生素治疗。此外,在晶体液中静脉注射 5 毫升 VenomVet ,持续 60 分钟;输注后未观察到与输注相关的不良反应。抗蛇毒血清给药后立即观察到肿胀改善,12 小时内几乎完全消退。初次就诊后 1 周,观察到足部肿胀完全消退,触诊无不适。在 1 周复查时采集的血液用于进行 CBC 和血浆生化小组检查。CBC 的结果显示左移再生减少、异嗜粒细胞计数增加和中度单核细胞增多症;淋巴细胞减少症已解决。轻度低白蛋白血症仍然存在。就诊后 10 个月,据报道这只鸟情况良好,右脚功能无变化,随后被释放。

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