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儿童蛇咬伤后急性肾衰竭

Acute renal failure in children following snake bite.

作者信息

Matthai T P, Date A

出版信息

Ann Trop Paediatr. 1981 Jun;1(2):73-6. doi: 10.1080/02724936.1981.11748064.

Abstract

Snake venom poisoning accounted for 1.4% of 4360 infants and children admitted to a south Indian hospital during the years 1976-1979 and was the commonest cause of acute renal failure encountered. Most of the 42 children with anuria following snake bite had evidence of intravascular coagulation and acute tubular necrosis. Russell's viper was the only snake recognized in all the cases of anuria in which species identification was possible. Renal failure complicating snake bite was relatively more frequent and more severe in children than in adults.

摘要

1976年至1979年间,在一家南印度医院收治的4360名婴幼儿中,蛇毒中毒占1.4%,是急性肾衰竭最常见的病因。42名蛇咬伤后无尿的儿童中,大多数有血管内凝血和急性肾小管坏死的证据。在所有能够进行物种鉴定的无尿病例中,仅确认是罗素蝰蛇。与成人相比,儿童蛇咬伤并发肾衰竭相对更常见且更严重。

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