Schwersenski J, Beatty D W
S Afr Med J. 1982 Apr 17;61(16):597-8.
A case of snakebite, thought to be due to a Cape cobra, in a young girl is described. Unusual features were a protracted period of paralysis and severe neurological residua in the form of hemiparesis and impaired vision. The ophthalmological features started as a bilateral optic neuritis and progressed to bilateral optic atrophy. It is difficult to ascribe all these effects to the neurotoxins of the Cape cobra as the neurotoxic features usually resolve rapidly if the patient survives. The actions of the neurotoxins, the quantity of antivenom to be administered in cases of cobra bite and the possible use of anticholinesterases such as neostigmine in these cases are also discussed.
本文描述了一名年轻女孩被认为是被海角眼镜蛇咬伤的病例。不寻常的特征是出现了长时间的麻痹，以及以偏瘫和视力受损形式存在的严重神经后遗症。眼科特征最初表现为双侧视神经炎，随后发展为双侧视神经萎缩。很难将所有这些影响都归因于海角眼镜蛇的神经毒素，因为如果患者存活，神经毒性特征通常会迅速消退。文中还讨论了神经毒素的作用、眼镜蛇咬伤病例中抗蛇毒血清的给药量，以及在这些病例中使用抗胆碱酯酶如新斯的明的可能性。
