Amarasekera N, Jayawardena A, Ariyaratnam A, Hewage U C, de Silva A
General Hospital, Colombo, Sri Lanka.
J Trop Med Hyg. 1994 Aug;97(4):195-8.
A rare case of sea-snake bite resulting in envenoming is reported. Comparison is made with clinical features of sea-snake envenoming as described in the literature. Some of the unusual features observed in our patient were the occurrence of pain at the site of the bite, regional lymph node enlargement and absence of muscle pain and tenderness. Polyvalent land-snake antivenom was used in the management of this patient since specific antivenom against sea-snake envenoming is not available in Sri Lanka. There was some improvement in neurological signs after the start of antivenom treatment. This is the first authenticated case of sea-snake envenoming in Sri Lanka.
本文报告了一例罕见的海蛇咬伤致中毒病例。并与文献中描述的海蛇中毒临床特征进行了比较。我们的患者出现了一些不寻常的特征，如咬伤部位疼痛、局部淋巴结肿大，且无肌肉疼痛和压痛。由于斯里兰卡没有针对海蛇中毒的特效抗蛇毒血清，因此使用了多价陆地蛇抗蛇毒血清对该患者进行治疗。抗蛇毒血清治疗开始后，神经症状有了一定改善。这是斯里兰卡首例经证实的海蛇中毒病例。
