Chan J C, Cockram C S, Buckley T, Young K, Kay R, Tomlinson B
Department of Clinical Pharmacology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong.
J Trop Med Hyg. 1995 Dec;98(6):457-60.
We describe the clinical course of two cases of envenoming by the many-banded krait (Bungarus multicinctus). A man developed generalized paralysis and respiratory failure with transient hypertension. Nerve conduction studies revealed normal motor and sensory conduction velocities with reduced motor unit action potential amplitudes consistent with neuromuscular blockade. He showed a slight transient response to the banded krait (B. fasciatus) antivenom but required ventilatory support for 8 days. After the fourth day, there was some response to treatment with anticholinesterase. Another man developed diplopia, dysphagia and leg weakness but recovered spontaneously after 48 hours.
我们描述了两例被银环蛇（Bungarus multicinctus）咬伤中毒的临床过程。一名男子出现全身麻痹和呼吸衰竭，并伴有短暂性高血压。神经传导研究显示运动和感觉传导速度正常，但运动单位动作电位幅度降低，符合神经肌肉阻滞。他对环纹海蛇（B. fasciatus）抗蛇毒血清有轻微的短暂反应，但需要8天的通气支持。第四天之后，对抗胆碱酯酶治疗有了一些反应。另一名男子出现复视、吞咽困难和腿部无力，但48小时后自行康复。
