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响尾蛇咬伤舌头导致危及生命的气道阻塞。

Life-threatening airway obstruction from rattlesnake bite to the tongue.

作者信息

Gerkin R, Sergent K C, Curry S C, Vance M, Nielsen D R, Kazan A

出版信息

Ann Emerg Med. 1987 Jul;16(7):813-6. doi: 10.1016/s0196-0644(87)80584-x.

Abstract

We describe the case of a 41-year-old man who suffered a bite to the tongue from the Western Diamondback rattlesnake (C atrox). Life-threatening obstruction of his upper airway secondary to massive edema of the tongue and other soft tissue structures quickly followed envenomation. Nasotracheal intubation, IV antivenin, and supportive care resulted in complete recovery with no permanent deficits. Rattlesnake bites to the tongue are rare and pose an unusual cause of airway obstruction.

摘要

我们描述了一名41岁男性的病例,他被西部菱斑响尾蛇(C atrox)咬伤舌头。蛇毒注入后,舌头及其他软组织结构迅速出现大量水肿,导致上呼吸道出现危及生命的梗阻。经鼻气管插管、静脉注射抗蛇毒血清及支持治疗后,患者完全康复,未遗留永久性功能障碍。响尾蛇咬伤舌头的情况罕见,是气道梗阻的特殊原因。

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