González D
Toxicon. 1982;20(1):349-53. doi: 10.1016/0041-0101(82)90242-2.
Poisonings due to Viperidae bites are quite common in our country. There is a mortality of 3 to 7 cases out of 35 million inhabitants and a variable morbidity which increases in some years. From 1965 to 1980, about 125 cases of bites by Vipers latasti, 80 by V. aspis and 23 by V. seoanei received treatment. Fifty per cent of the cases received small doses of venom and presented proteolytic and coagulant reactions. With stronger doses the reactions were anticoagulant and hemolytic. Two cases affected by bites of V. aspis developed a neurotoxic syndrome with ptosis, dysphagia, dysphasia and paralysis of the bitten extremity. The specific treatment in the severe and moderate cases has been Pasteur and Zagreb antivenom.
在我国，蝰蛇咬伤中毒颇为常见。每3500万居民中有3至7人死亡，发病率不定，在某些年份有所增加。1965年至1980年期间，约125例被拉塔斯蝰蛇咬伤、80例被角蝰咬伤以及23例被塞奥内蝰蛇咬伤的患者接受了治疗。50%的病例接受了小剂量毒液，出现了蛋白水解和凝血反应。剂量较大时，反应为抗凝和溶血。两例被角蝰咬伤的患者出现了神经毒性综合征，伴有上睑下垂、吞咽困难、言语困难和被咬肢体麻痹。重症和中症病例的特效治疗方法是使用巴斯德抗蛇毒血清和萨格勒布抗蛇毒血清。
