Pedersen H S
anestesiologisk afdeling, Hillerød Sygehus.
Ugeskr Laeger. 1995 Apr 3;157(14):2014-6.
Two cases of bites by the common viper were reviewed. Emphasis was focused on proper medical monitoring in an intensive care unit for a minimum of one day. Observations should include ECG, Hb, leucocytes, electrolytes in both blood and urine, CPK, and coagulation factors. Surgical intervention, heparin and cryotherapy are not recommended. Proper treatment with immobilisation of the bitten extremity, tetanus antitoxin and volume therapy is recommended. In severe cases Zagreb Antitoxin should be used. Patients with cardio-pulmonary problems require special attention.
回顾了两例被普通蝰蛇咬伤的病例。重点是在重症监护病房进行至少一天的适当医学监测。观察指标应包括心电图、血红蛋白、白细胞、血液和尿液中的电解质、肌酸磷酸激酶以及凝血因子。不建议进行手术干预、使用肝素和冷冻疗法。建议采取适当的治疗措施，包括固定被咬伤的肢体、注射破伤风抗毒素和容量治疗。在严重病例中应使用萨格勒布抗毒素。有心肺问题的患者需要特别关注。
