Johnston M A, Tullett W M
Department of Accident and Emergency Medicine, Western Infirmary, Glasgow.
Arch Emerg Med. 1993 Dec;10(4):375-9. doi: 10.1136/emj.10.4.375.
Few doctors working in the accident and emergency (A&E) department will have had experience in the management of adder (Vipera Berus) bites. While such events are uncommon, and rarely fatal, prompt correct management undoubtedly helps in reducing mortality and morbidity. Various isolated case reports (Watson & Harland, 1977; Gerard & Pugh, 1982; Jones & Clegg, 1985) and larger reviews (Reid, 1976; Pesson & Irestedt 1981; Hawley, 1988, 1990) have appeared in non A&E related journals. Following our own recent experience we felt it timely to report our case and review the management.
在事故与急救(A&E)科室工作的医生中,很少有人有处理蝰蛇(极北蝰)咬伤的经验。虽然这类事件并不常见,且极少致命,但及时正确的处理无疑有助于降低死亡率和发病率。各种孤立的病例报告(沃森和哈兰德,1977年;杰勒德和普格,1982年;琼斯和克莱格,1985年)以及规模更大的综述(里德,1976年;佩松和伊雷斯泰特,1981年;霍利,1988年、1990年)已发表在与A&E无关的期刊上。根据我们自己最近的经验,我们觉得及时报告我们的病例并回顾处理方法是很有必要的。