蝰蛇咬伤继发窦性心动过缓和急性肾损伤：首例病例报告。

Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report.

作者信息

Guamán-Charco Elías David, Paredes-Ponce Anabel, Orellana-Chimbay Hugo, Omares Nelson, Guamán-Charco Genesis, Rubio Mario, Vasconez-Gonzalez Jorge, Ortiz-Prado Esteban

机构信息

One Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, Ecuador.

Emergency Department, Marco Vinicio Iza Hospital, Nueva Loja, Ecuador.

出版信息

Front Med (Lausanne). 2025 Aug 4;12:1600067. doi: 10.3389/fmed.2025.1600067. eCollection 2025.

DOI:10.3389/fmed.2025.1600067

PMID:40832102

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12358373/

Abstract

BACKGROUND

Worldwide, millions of people suffer from snakebites every year. In Ecuador, as of epidemiological week 30 of 2024, approximately 271 cases have been reported.

CLINICAL CASE

A 54-year-old male patient suffered a snakebite from the Viperidae family 24 h ago, on his right upper limb. Classified as moderate envenomation, he was given antivenom and admitted to the hospital. During his stay, he began to show clinical and paraclinical alterations, including sinus bradycardia on the electrocardiogram and acute renal injury, requiring dialysis therapy sessions. In daily ECG controls on day 13, the heart rate normalized. However, after day 22, he was discharged but remained under triweekly dialysis therapy.

CONCLUSION

Complications from snakebites are rare, both cardiovascular and renal, but can be potentially fatal without early detection and timely treatment.

摘要

背景

在全球范围内，每年有数百万人遭受蛇咬。在厄瓜多尔，截至2024年第30个流行病学周，已报告约271例病例。

临床病例

一名54岁男性患者于24小时前在其右上肢被蝰蛇科蛇咬伤。被分类为中度中毒，给予抗蛇毒血清并入院治疗。在住院期间，他开始出现临床和辅助检查异常，包括心电图显示窦性心动过缓和急性肾损伤，需要进行透析治疗。在第13天的每日心电图检查中，心率恢复正常。然而，在第22天后，他出院了，但仍需每三周进行一次透析治疗。