Atkinson P M, Bradlow B A, White J A, Greig H B, Gaillard M C
S Afr Med J. 1980 Dec 20;58(25):1007-11.
A case of disseminated intravascular coagulation in a 13-year-old-boy caused by a bite from a twig snake (Thelatornis kirtlandii capensis) is described. The coagulant enzyme was found to be a single-chain mole-activate prothrombin and factor X as well as weakly accelerating fibrinolysis. Its action on synthetic chromogenic substrates is described. Boomslang antivenom was unable to block twig snake venom, and the implications of this as regards treatment are discussed.
本文描述了一例13岁男孩因被细枝蛇（Thelatornis kirtlandii capensis）咬伤而引发弥散性血管内凝血的病例。研究发现，该凝血酶是一种单链分子激活凝血酶原和因子X，同时还能微弱地加速纤维蛋白溶解。文中描述了其对合成显色底物的作用。鼓腹咝蝰抗蛇毒血清无法中和细枝蛇毒液，文中还讨论了这一情况对治疗的影响。
