Kitchens C S, Van Mierop L H
JAMA. 1987 Sep 25;258(12):1615-8.
We gathered data on 39 victims of Eastern coral snake bite over a 12-year period. The most common situation resulting in snakebite was erroneous identification of the snake as the nonpoisonous scarlet king snake. While no patient died, several experienced severe envenomation, including bulbospinal respiratory paralysis. We found that neurologic symptoms may be delayed for 12 hours, and then may be precipitous. Envenomation occurs in 75% of the persons bitten by a coral snake. Antivenin is effective and should be intravenously administered early to patients who have been bitten by a positively identified coral snake, depending on the clinical presentation.
我们收集了12年间39例东部珊瑚蛇咬伤受害者的数据。导致蛇咬伤的最常见情况是将蛇错误地识别为无毒的猩红王蛇。虽然没有患者死亡，但有几例出现了严重的中毒症状，包括延髓脊髓性呼吸麻痹。我们发现神经症状可能会延迟12小时，然后可能会突然出现。75%被珊瑚蛇咬伤的人会出现中毒症状。抗蛇毒血清是有效的，对于已被确诊为珊瑚蛇咬伤的患者，应根据临床表现尽早静脉注射。
