Sathyanathan V P, Mathew M T
Department of Nephrology, Medical Calicut.
J Assoc Physicians India. 1993 Feb;41(2):122-3.
Local necrosis and gangrene at the site of the bite are commonly observed after snake envenomation. However, Raynaud's phenomenon and gangrene occurring in a limb other than that bitten by the snake is encountered rarely. So far, there is only one report of such an episode in literature. Here we are reporting a case of patient with snake bite on the right foot following which he developed Raynaud's phenomenon of the left upper limb and dry gangrene of the tips of the left index and middle fingers. The snake was identified as Russel's viper.
蛇咬伤后,咬伤部位常见局部坏死和坏疽。然而,在未被咬的肢体出现雷诺现象和坏疽则很少见。迄今为止,文献中仅有一例此类报道。在此,我们报告一例患者,其右脚被蛇咬伤,随后出现左上肢雷诺现象以及左手示指和中指指尖干性坏疽。经鉴定,该蛇为罗素蝰蛇。