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蛇咬伤，一名年轻巴基斯坦男孩罕见的致命性中毒事件：病例报告

Snakebite, a Rare Fatal Envenomation Incident in a Young Pakistani Boy: Case Report.

作者信息

Siddiqui Farina Fatima, Siddiqui Aisha Rehman, Maheshwari Kundan Kumar, Mehmood Khizer, Kumar Jaint, Siddiqui Noor-Us-Sahar, Khan Muhammad Momin, Javed Sania, Jlailati Alaa

机构信息

Department of Internal Medicine Liaquat University Hospital Hyderabad Pakistan.

Liaquat University Hospital Hyderabad Pakistan.

出版信息

Clin Case Rep. 2025 Jun 5;13(6):e70564. doi: 10.1002/ccr3.70564. eCollection 2025 Jun.

DOI:10.1002/ccr3.70564
PMID:40485657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141088/
Abstract

Prompt identification and aggressive intervention in envenomation are paramount to avert life-threatening complications such as venom-induced consumptive coagulopathy (VICC), acute renal failure (ARF), and necrotizing fasciitis. Expeditious antivenom administration, coupled with a coordinated multidisciplinary approach, is imperative for optimizing clinical outcomes and mitigating mortality.

摘要

及时识别并积极干预中毒情况对于避免诸如蛇毒诱导的消耗性凝血病（VICC）、急性肾衰竭（ARF）和坏死性筋膜炎等危及生命的并发症至关重要。迅速给予抗蛇毒血清，并辅以多学科协作的方法，对于优化临床结局和降低死亡率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05f/12141088/36483b007e84/CCR3-13-e70564-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05f/12141088/8e487d7e9821/CCR3-13-e70564-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05f/12141088/36483b007e84/CCR3-13-e70564-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05f/12141088/8e487d7e9821/CCR3-13-e70564-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05f/12141088/36483b007e84/CCR3-13-e70564-g002.jpg

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本文引用的文献

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Sci Rep. 2024 Feb 7;14(1):3184. doi: 10.1038/s41598-024-53366-9.
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Human emotional evaluation of ancestral and modern threats: fear, disgust, and anger.人类对祖先和现代威胁的情绪评估：恐惧、厌恶和愤怒。
Front Psychol. 2024 Jan 4;14:1321053. doi: 10.3389/fpsyg.2023.1321053. eCollection 2023.
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Approach to the diagnosis and management of snakebite envenomation in South Africa in humans.南非人类蛇咬伤的诊断和处理方法。
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Recent advancements in snake antivenom production.蛇抗蛇毒血清生产的最新进展。
Int J Biol Macromol. 2023 Jun 15;240:124478. doi: 10.1016/j.ijbiomac.2023.124478. Epub 2023 Apr 16.
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Fatal intracranial bleedings in a viper bite: A case report.毒蛇咬伤致颅内致命性出血：病例报告。
Chin J Traumatol. 2023 Mar;26(2):121-124. doi: 10.1016/j.cjtee.2022.09.004. Epub 2022 Sep 15.
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Managing snakebite.处理蛇咬伤
BMJ. 2022 Jan 7;376:e057926. doi: 10.1136/bmj-2020-057926.
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The 20-minute whole blood clotting test (20WBCT) for snakebite coagulopathy-A systematic review and meta-analysis of diagnostic test accuracy.20 分钟全血凝血试验（20WBCT）在蛇伤凝血功能障碍中的诊断价值：系统评价和荟萃分析。
PLoS Negl Trop Dis. 2021 Aug 10;15(8):e0009657. doi: 10.1371/journal.pntd.0009657. eCollection 2021 Aug.
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SAGE Open Med Case Rep. 2021 Apr 10;9:2050313X211007705. doi: 10.1177/2050313X211007705. eCollection 2021.
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