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蛇伤后中度重症急性胰腺炎 1 例报告——来自中国南方地区。

Moderately severe acute pancreatitis after snake bite: a case report from Southern China.

机构信息

Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, China.

Jiangxi Clinical Research Center for Gastroenterology, Nanchang, China.

出版信息

Z Gastroenterol. 2024 Apr;62(4):508-511. doi: 10.1055/a-2150-2291. Epub 2023 Sep 20.

Abstract

Venomous snakebites are not rare worldwide, and this is also the situation in the mountainous regions of southern China, where they pose a serious health risk to the local population. Snake venom usually causes a variety of clinical symptoms, such as local pain and swelling, systemic coagulation system abnormalities, and shock, but rarely leads to acute pancreatitis. In this report, we presented a rare case of moderately severe acute pancreatitis caused by snake venom even after prompt antivenom treatment. The patient was relieved, obviously, with effective treatment of acute pancreatitis and was discharged without severe complications. Although acute pancreatitis after snake bite is a rarity, its serious complications and lethality still deserve our utmost attention, and timely and standardized treatment of acute pancreatitis is needed in addition to antivenom treatment.

摘要

毒蛇咬伤在世界范围内并不罕见,中国南方山区也是如此,这对当地居民的健康构成了严重威胁。蛇毒通常会引起多种临床症状,如局部疼痛和肿胀、全身性凝血系统异常和休克,但很少导致急性胰腺炎。在本报告中,我们介绍了一例罕见的毒蛇咬伤后中重度急性胰腺炎病例,即使及时使用抗蛇毒血清治疗也如此。经过有效的急性胰腺炎治疗,患者病情缓解,未出现严重并发症后出院。虽然蛇咬伤后并发急性胰腺炎较为罕见,但它的严重并发症和致死率仍值得我们高度关注,除了抗蛇毒血清治疗外,还需要及时、规范地治疗急性胰腺炎。

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