Zimmerman J, Mann G, Kaplan H Y, Sagher U
Trans R Soc Trop Med Hyg. 1981;75(5):702-5. doi: 10.1016/0035-9203(81)90155-3.
Two cases of envenoming by Cerastes vipera are described Both were in snake collectors who were accidentally bitten on the finger while handling the snake. In both cases, local signs included a haemorrhagic bulla with fang marks, swelling and tenderness. These signs were mild in one case and moderately severe in the other, necessitating fasciotomy. No systemic signs were observed. Some coagulation abnormalities were found in both cases. In one, prolonged bleeding from the wound and a shortened euglobulin lysis time may suggest activation of the fibrinolytic mechanism. In the other, prolongation of prothrombin time occurred with no haemorrhagic diathesis. Treatment included fasciotomy in one case and elevation of the affected part and antibiotics in the other. It appears that the clinical course of this snakebite is relatively benign.
描述了2例被角蝰蛇咬伤中毒的病例。两名患者均为蛇类收集者，在处理蛇时手指意外被咬伤。两例的局部体征均包括有牙痕的出血性水疱、肿胀和压痛。其中1例这些体征较轻，另一例则为中度严重，需要进行筋膜切开术。未观察到全身症状。两例均发现一些凝血异常。其中1例伤口出血时间延长和优球蛋白溶解时间缩短，可能提示纤溶机制激活。另一例凝血酶原时间延长，但无出血素质。治疗方面，1例进行了筋膜切开术，另一例采取了抬高患部并使用抗生素的措施。看来这种蛇咬伤的临床过程相对良性。
