Lin T J, Yang C C, Yang G Y, Ger J, Tsai W J, Deng J F
Department of Medicine, Veterans General Hospital, National Yang-Ming University, Taipei, Taiwan, R.O.C.
Trop Geogr Med. 1995;47(6):300-2.
In order to define characteristics that would help differentiate a centipede bite from a viper bite, we designed a prospective study using the data collection system of a Poison Control Center. The clinical goal is to rapidly distinguish envenomations for which antitoxin may be indicated (viper) from those for which palliative care only is appropriate (centipede). During a year period, 31 cases, including two cases receiving double bites in each event, were reported. Centipede lengths were estimated to range from 3 to 20 cm. Ninety-two per cent of the bite marks were pointed in shape. A local reaction developed at the bitten site, but usually remaining localized to a 10 x 10 cm area of involvement. The length of the biting animal, the bite mark characteristics, the presence of haemorrhagic vesicles, the wound size and the progression of local reactions are useful in the rapid clinical differentiation between centipede bites and viper bites.
为了确定有助于区分蜈蚣咬伤和蝰蛇咬伤的特征，我们利用一家毒物控制中心的数据收集系统设计了一项前瞻性研究。临床目标是迅速将可能需要抗毒素治疗的中毒情况（蝰蛇咬伤）与仅适合姑息治疗的情况（蜈蚣咬伤）区分开来。在一年时间里，共报告了31例病例，其中包括两例每次事件中遭受双重咬伤的病例。估计蜈蚣长度在3至20厘米之间。92%的咬痕呈尖形。被咬部位出现局部反应，但通常局限于10×10厘米的受累区域。咬人动物的长度、咬痕特征、出血性水疱的存在、伤口大小以及局部反应的进展情况，有助于在临床上快速区分蜈蚣咬伤和蝰蛇咬伤。
