泰国农民被眼镜蛇咬伤的临床表现。

Clinical manifestations of cobra bite in the Thai farmer.

作者信息

Trishnananda M, Oonsombat P, Dumavibhat B, Yongchaiyudha S, Boonyapisit V

出版信息

Am J Trop Med Hyg. 1979 Jan;28(1):165-6. doi: 10.4269/ajtmh.1979.28.165.

DOI:10.4269/ajtmh.1979.28.165

Abstract

Twenty cases of cobra bite in farmers from the central region of Thailand are reported. Ptosis is the earliest sign of cobra bite and is an important diagnostic indication of systemic poisoning. Restlessness, irregular breathing and mental confusion are warning signs of respiratory paralysis. Antivenom for cobra bite was administered intravenously together with symptomatic and supportive treatment; 19 patients survived and 1 died from cerebral anoxia.

摘要

报告了20例来自泰国中部地区农民的眼镜蛇咬伤病例。上睑下垂是眼镜蛇咬伤的最早体征，也是全身中毒的重要诊断指征。烦躁不安、呼吸不规则和精神错乱是呼吸麻痹的警示信号。眼镜蛇咬伤抗蛇毒血清与对症和支持治疗一起静脉注射；19例患者存活，1例死于脑缺氧。