一例危及生命的印度金环蛇神经毒性咬伤事件：病例报告

A Life-Threatening Incidence of Neurotoxic Indian Krait Snake Bite: A Case Report.

作者信息

Lohakare Tejaswee, Kurian Bibin, Maurya Archana, Wanjari Mayur B, Meshram Khushbu M

机构信息

Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (DU), Wardha, IND.

Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (DU), Wardha, IND.

出版信息

Cureus. 2022 Aug 5;14(8):e27719. doi: 10.7759/cureus.27719. eCollection 2022 Aug.

DOI:10.7759/cureus.27719

PMID:36081963

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9441268/

Abstract

The Indian Krait delivers one of the most lethal venoms compared to other Asian snakes. The venom of the common Krait comprises substantial neurotoxins that cause muscular paralysis. Significant snake bite incidence occurs in rural areas. The significant death rate caused by snake bites is seldomly reported in the medical literature. A 14-year-old adolescent girl was brought by her parents to the emergency department (ED) in an unconscious state. The patient reported swelling on her right hand with fang marks of a snake bite, sweating, and increased salivation. The primary therapeutic intervention was given to the patient and she was treated with intravenous anti-snake venom serum, antibiotics, and anti-epileptics during hospitalisation.

摘要

与其他亚洲蛇类相比，印度金环蛇分泌的毒液毒性最强。普通金环蛇的毒液含有大量导致肌肉麻痹的神经毒素。农村地区蛇咬伤的发生率很高。蛇咬伤导致的显著死亡率在医学文献中鲜有报道。一名14岁的青春期女孩被父母带到急诊室时已失去意识。患者自述右手肿胀并有蛇咬的牙印，伴有出汗和唾液分泌增多。对患者进行了初步治疗干预，并在住院期间接受了静脉注射抗蛇毒血清、抗生素和抗癫痫药物治疗。