Skoda-Türk R
Laryngol Rhinol Otol (Stuttg). 1979 May;58(5):470-3.
A nine-year-old boy was bitten in the tongue by an Asiatic fer-de-lance, a Trimenesurus wagleri. No generalized toxic reaction developed; there was only locally a massive edema of the tongue leading to a severe dyspnea. The child was intubated and administered antiphlogistics, antibiotics, cortison, a tetanus booster shot as well as parenteral nutrition. After three days the local status was unchanged. Because of the danger of the development of necrosis in the laryngeal region as a result of the toxic effect and the sustained intubation, a tracheotomy inferior was carried out. The status localis improved considerably after surgery, so that a week after the bite the tracheostoma could be closed. Four weeks later no pathological findings were made any more, the tracheostoma had healed up well.
一名9岁男孩被一条亚洲矛头蝮（ Wagler氏竹叶青）咬伤舌头。未出现全身性中毒反应；仅局部舌头出现严重水肿，导致严重呼吸困难。该患儿接受了插管，并给予了消炎药、抗生素、皮质激素、破伤风加强针以及肠外营养。三天后局部情况未改变。由于毒性作用以及持续插管导致喉部区域有发生坏死的危险，遂进行了低位气管切开术。术后局部情况明显改善，因此咬伤一周后气管造口可以关闭。四周后不再有任何病理发现，气管造口愈合良好。
