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亚马逊地区蛇咬伤所致毛细血管渗漏综合征:病例报告

Capillary leak syndrome due to snakebite in the Amazon: case report.

作者信息

Ramírez-García Edgar A, Perez-Mori Arley, Mori-Coral Mónica, Canchanya-Olimar Maria Jose V, Celis-Salinas Juan C, Casasapia-Morales Martín

机构信息

Universidad Nacional de la Amazonia Peruana, Loreto, Perú.

Hospital Regional de Loreto, Loreto, Perú.

出版信息

Rev Peru Med Exp Salud Publica. 2025 Jan 31;41(4):438-441. doi: 10.17843/rpmesp.2024.414.13614.

Abstract

Capillary leak syndrome is a unique complication characterized by extravasation of liquids in the interstitial space due to protein loss caused by snakebite envenoming. We describe the case of a 12-year-old boy from the district of Napo in the city of Iquitos in the Peruvian Amazon, who had edema and increased face volume due to the bite of a snake of the Bothrops genus in the lateral aspect of the right leg; he was the hospitalized and diagnosed with severe ophidism complicated with face edema. The patient received eight vials of antivenin, antibiotics and analgesics. Finally, the patient was discharged from the hospital after eight days of hospitalization, with favorable evolution and recovery.

摘要

毛细血管渗漏综合征是一种独特的并发症,其特征是由于蛇咬伤中毒导致蛋白质流失,液体渗漏到间质空间。我们描述了一名来自秘鲁亚马逊地区伊基托斯市纳波区的12岁男孩的病例,他因右腿外侧被一条矛头蝮属蛇咬伤,出现了水肿和面部肿胀;他被住院治疗,并被诊断为严重的蛇咬伤中毒并发面部水肿。患者接受了八瓶抗蛇毒血清、抗生素和镇痛药治疗。最后,患者住院八天后出院,病情进展良好并康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d688/11797586/c12317a5b01a/rpmesp-41-04-13614-g001.jpg

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