Ribeiro L A, Utescher C L, Vieira S L, Fensterseifer S, Mukuno H, Jorge M T
Hospital Vital Brazil do Instituto Butantan, São Paulo, Brasil.
Rev Inst Med Trop Sao Paulo. 1993 Jan-Feb;35(1):23-7.
The efficacy of the Crotalus durissus terrificus antivenom administration by intramuscular (im) injection at the same place of the im inoculation, of the C. d. terrificus venom was evaluated in mice. In three experiments two DL50 of the venom were inoculated and the antivenom was administered in three different ways: half of the ED50 by intraperitoneal (ip) administration and half by injection, at the same place, immediately after the venom inoculation and thirty minutes after the im venom inoculation; four fifth of ED50 by ip administration and one fifth by injection, at the same place and thirty minutes after the venom inoculation. The antivenom that was administered by intraperitoneal route provided a higher protection to mice (a lower death rate in a 48 hours period) than when it was administered in parts, by intramuscular injection, at the same place of the venom inoculation (p < 0.05). Therefore, it is concluded that this should not be used in human beings bitten by snakes.
在小鼠中评估了在肌肉注射巴西矛头蝮蛇毒的同一部位肌肉注射巴西矛头蝮抗蛇毒血清的效果。在三个实验中,接种了两份半数致死剂量(DL50)的蛇毒,并以三种不同方式给予抗蛇毒血清:半数有效剂量(ED50)通过腹腔注射,另一半在蛇毒接种后立即及肌肉注射蛇毒30分钟后在同一部位注射;五分之四的ED50通过腹腔注射,五分之一在蛇毒接种30分钟后在同一部位注射。与在蛇毒接种部位分部位肌肉注射相比,通过腹腔途径给予的抗蛇毒血清对小鼠的保护作用更强(48小时内死亡率更低)(p<0.05)。因此,得出结论,不应将其用于被蛇咬伤的人类。