Broughton G
Brooke Army Medical Center, Department of General Surgery, Fort Sam Houston, TX 78234, USA.
Mil Med. 1996 Oct;161(10):627-9.
A significant number of people are bitten by the brown recluse spider (BRS) each year. Medical treatment regimens are sometimes unsatisfactory and surgical intervention is often necessary to debride the necrotic wound. This case study reports the treatment given to a 19-year-old active duty United States Army soldier who suffered a BRS bite to the glans penis. This patient received immediate medical attention and was started on intravenously administered diphenhydramine, methylprednisolone, calcium gluconate, and famotidine. Oral dapsone treatment was begun in the emergency room. Within 24 hours after his injury, the patient received his first hyperbaric oxygen treatment, which was continued twice daily for 5 days. Skin necrosis was avoided, the patient did not require any surgical intervention, and he was discharged after 8 days without sequelae.
每年有相当数量的人被棕色遁蛛（BRS）咬伤。医疗治疗方案有时并不令人满意，通常需要进行手术干预以清创坏死伤口。本病例研究报告了一名19岁美国现役军人阴茎头被BRS咬伤后的治疗情况。该患者立即接受了医疗救治，并开始静脉注射苯海拉明、甲基泼尼松龙、葡萄糖酸钙和法莫替丁。在急诊室开始口服氨苯砜治疗。受伤后24小时内，患者接受了第一次高压氧治疗，并持续每天两次，共5天。避免了皮肤坏死，患者无需任何手术干预，8天后出院，无后遗症。
