马来环蛇（Bungarus candidus，林奈）所致严重神经毒性中毒：对抗蛇毒血清和抗胆碱酯酶的反应
Severe neurotoxic envenoming by the Malayan krait Bungarus candidus (Linnaeus): response to antivenom and anticholinesterase.
作者信息
Warrell D A, Looareesuwan S, White N J, Theakston R D, Warrell M J, Kosakarn W, Reid H A
出版信息
Br Med J (Clin Res Ed). 1983 Feb 26;286(6366):678-80. doi: 10.1136/bmj.286.6366.678.
Abstract
Five patients were bitten by the Malayan krait Bungarus candidus (Linnaeus) in eastern Thailand or north western Malaya. Two patients were not envenomed but the other three developed generalised paralysis which progressed to respiratory paralysis in two cases, one of which ended fatally. One patient showed parasympathetic abnormalities. Anticholinesterase produced a dramatic improvement in one patient. Another patient probably benefited from paraspecific antivenom. The efficacy of antivenoms and adjuvants such as anticholinesterases in patients with neurotoxic envenoming requires further study.
摘要
5名患者在泰国东部或马来西亚西北部被马来环蛇（Bungarus candidus，林奈）咬伤。2名患者未出现中毒症状，但其他3名患者出现全身麻痹，其中2例进展为呼吸麻痹，1例死亡。1名患者出现副交感神经异常。抗胆碱酯酶药物使1名患者病情显著改善。另1名患者可能受益于异种特异性抗蛇毒血清。抗蛇毒血清和抗胆碱酯酶等佐剂在神经毒性中毒患者中的疗效需要进一步研究。
相似文献
1
Severe neurotoxic envenoming by the Malayan krait Bungarus candidus (Linnaeus): response to antivenom and anticholinesterase.马来环蛇（Bungarus candidus，林奈）所致严重神经毒性中毒：对抗蛇毒血清和抗胆碱酯酶的反应
Br Med J (Clin Res Ed). 1983 Feb 26;286(6366):678-80. doi: 10.1136/bmj.286.6366.678.
2
Specific antivenom for Bungarus candidus.银环蛇特异性抗蛇毒血清。
J Med Assoc Thai. 2007 Jul;90(7):1467-76.
3
Envenoming by Chinese krait (Bungarus multicinctus) and banded krait (B. fasciatus) in Myanmar.缅甸中华眼镜蛇（银环蛇）和环纹眼镜蛇（金环蛇）咬伤中毒情况
Trans R Soc Trop Med Hyg. 1997 Nov-Dec;91(6):686-8. doi: 10.1016/s0035-9203(97)90524-1.
4
Role of neostigmine and polyvalent antivenom in Indian common krait (Bungarus caeruleus) bite.新斯的明和多价抗蛇毒血清在印度圆斑蝰（Bungarus caeruleus）咬伤中的作用。
J Infect Public Health. 2010;3(2):83-7. doi: 10.1016/j.jiph.2010.01.002. Epub 2010 May 26.
5
Neurotoxic envenoming following bites by the Malayan krait (Bungarus candidus).马来环蛇（银环蛇）咬伤后的神经毒性中毒
J Med Assoc Thai. 2002 Aug;85(8):945-8.
6
Decreased parasympathetic activities in Malayan krait (Bungarus candidus) envenoming.马来环蛇（银环蛇）咬伤中毒时副交感神经活动降低。
Toxicon. 2001 Sep;39(9):1353-7. doi: 10.1016/s0041-0101(01)00087-3.
7
Spontaneous recovery from severe neurotoxic envenoming by a Malayan krait Bungarus candidus (Linnaeus) in Thailand.
Wilderness Environ Med. 1997 Nov;8(4):223-5. doi: 10.1580/1080-6032(1997)008[0223:srfsne]2.3.co;2.
8
Two rare case reports of confirmed Ceylon krait (Bungarus ceylonicus) envenoming in Sri Lanka.斯里兰卡两例已确诊的锡兰金环蛇（Bungarus ceylonicus）咬伤的罕见病例报告。
Toxicon. 2017 Mar 1;127:44-48. doi: 10.1016/j.toxicon.2017.01.003. Epub 2017 Jan 4.
9
Development of a Biosensor to Detect Venom of Malayan Krait ().一种用于检测马来亚金环蛇毒液的生物传感器的研制。
Toxins (Basel). 2024 Jan 19;16(1):56. doi: 10.3390/toxins16010056.
10
The greater black krait (Bungarus niger), a newly recognized cause of neuro-myotoxic snake bite envenoming in Bangladesh.孟加拉国新确认的神经肌毒性蛇咬伤病因——黑眉锦蛇。
Brain. 2010 Nov;133(11):3181-93. doi: 10.1093/brain/awq265. Epub 2010 Sep 20.
引用本文的文献
1
Development of a Biosensor to Detect Venom of Malayan Krait ().一种用于检测马来亚金环蛇毒液的生物传感器的研制。
Toxins (Basel). 2024 Jan 19;16(1):56. doi: 10.3390/toxins16010056.
2
Agonists of melatonin receptors strongly promote the functional recovery from the neuroparalysis induced by neurotoxic snakes.褪黑素受体激动剂强烈促进神经毒性蛇诱导的神经麻痹的功能恢复。
PLoS Negl Trop Dis. 2024 Jan 8;18(1):e0011825. doi: 10.1371/journal.pntd.0011825. eCollection 2024 Jan.
3
An agonist of the CXCR4 receptor accelerates the recovery from the peripheral neuroparalysis induced by Taipan snake envenomation.CXCR4 受体激动剂加速了太攀蛇毒液中毒引起的周围神经麻痹的恢复。
PLoS Negl Trop Dis. 2020 Sep 8;14(9):e0008547. doi: 10.1371/journal.pntd.0008547. eCollection 2020 Sep.
4
Acute neuromuscular paralysis, rhabdomyolysis and long lasting neurological deficits in Ceylon krait () bites: Two authentic cases from a serpentarium in Sri Lanka.锡兰金环蛇咬伤导致的急性神经肌肉麻痹、横纹肌溶解和长期神经功能缺损：来自斯里兰卡一家蛇类饲养园的两例真实病例
Toxicon X. 2019 Oct 2;4:100015. doi: 10.1016/j.toxcx.2019.100015. eCollection 2019 Oct.
5
Drysdalin, an antagonist of nicotinic acetylcholine receptors highlights the importance of functional rather than structural conservation of amino acid residues.干斯他林，一种烟碱型乙酰胆碱受体拮抗剂，凸显了氨基酸残基功能而非结构保守性的重要性。
FASEB Bioadv. 2019 Jan 10;1(2):115-131. doi: 10.1096/fba.1027. eCollection 2019 Feb.
6
Variations in neurotoxicity and proteome profile of Malayan krait (Bungarus candidus) venoms.马来亚克蛇（Bungarus candidus）毒液的神经毒性和蛋白质组图谱的变化。
PLoS One. 2019 Dec 30;14(12):e0227122. doi: 10.1371/journal.pone.0227122. eCollection 2019.
7
Snake Venoms in Drug Discovery: Valuable Therapeutic Tools for Life Saving.蛇毒在药物发现中的应用：救命的有价值治疗工具。
Toxins (Basel). 2019 Sep 25;11(10):564. doi: 10.3390/toxins11100564.
8
Krait envenomation in Thailand.泰国的金环蛇咬伤中毒情况。
Ther Clin Risk Manag. 2018 Sep 13;14:1711-1717. doi: 10.2147/TCRM.S169581. eCollection 2018.
9
Non-neurotoxic activity of Malayan krait () venom from Thailand.泰国马来环蛇毒液的非神经毒性活性。
J Venom Anim Toxins Incl Trop Dis. 2018 Mar 9;24:9. doi: 10.1186/s40409-018-0146-y. eCollection 2018.
10
Snakebite in Taiwan.台湾的蛇咬伤情况。
Am J Trop Med Hyg. 2017 Jun;96(6):1497-1504. doi: 10.4269/ajtmh.17-0005.
本文引用的文献
1
VENOMOUS SNAKE BITE IN PAPUA AND ITS TREATMENT WITH TRACHEOTOMY, ARTIFICIAL RESPIRATION AND ANTIVENENE.巴布亚的毒蛇咬伤及其气管切开术、人工呼吸和抗蛇毒血清治疗
Trans R Soc Trop Med Hyg. 1964 May;58:263-73. doi: 10.1016/0035-9203(64)90040-9.
2
Diagnosis, prognosis, and treatment of sea-snake bite.
Lancet. 1961 Aug 19;2(7199):399-402. doi: 10.1016/s0140-6736(61)92483-7.
3
Snake bite in India.印度的蛇咬伤情况。
Indian J Med Res. 1954 Oct;42(4):661-86.
4
Neurological aspects of ophitoxemia (Indian krait)- A clinico-electromyographic study.眼镜蛇毒血症（印度金环蛇）的神经学方面——一项临床肌电图研究。
Indian J Med Res. 1981 Feb;73:269-76.
5
Observations on the bite of the Mozambique spitting cobra (Naja mossambica mossambica).关于莫桑比克喷毒眼镜蛇（Naja mossambica mossambica）咬伤的观察报告。
S Afr Med J. 1982 Feb 27;61(9):308-13.
6
Neostigmine in the treatment of Elapidae bites.
J Assoc Physicians India. 1972 Jul;20(7):503-9.
7
External ophthalmoplegia in elapidae bites and its response to neostigmine.
Neurol India. 1975 Jun;23(2):109-10.
8
Acute renal failure with myoglobinuria after tiger snake bite.虎蛇咬伤后伴肌红蛋白尿的急性肾衰竭
Med J Aust. 1975 Oct 18;2(16):638-41.
9
10
Micro-ELISA for detecting and assaying snake venom and venom-antibody.
Lancet. 1977 Sep 24;2(8039):639-41. doi: 10.1016/s0140-6736(77)92502-8.
Zotero 插件