一例被角蝰咬伤后发生肠梗死的病例。

A case of intestinal infarction following Vipera aspis bite.

作者信息

Beer E, Musiani R

机构信息

Surgical Department, Ospedale Civile, Leighorn, Italy.

出版信息

Toxicon. 1998 May;36(5):729-33. doi: 10.1016/s0041-0101(97)00138-4.

DOI:10.1016/s0041-0101(97)00138-4

PMID:9655633

Abstract

A case of Vipera aspis bite followed by severe envenomation, shock, neurotoxic symptoms, myoglobinuria and coagulation disorders with thrombosis of the iliac vessels and intestinal infarction is described. A right hemicolectomy had to be performed. Treatment is described in detail. European adder bites may cause, although uncommonly, severe envenoming with unusual symptoms. The attending doctor must be prepared to face unusual diagnostic and therapeutic problems.

摘要

描述了一例被角蝰咬伤后出现严重中毒、休克、神经毒性症状、肌红蛋白尿以及凝血障碍并伴有髂血管血栓形成和肠梗死的病例。不得不进行了右半结肠切除术。详细描述了治疗过程。欧洲蝰蛇咬伤虽然不常见，但可能导致严重中毒并伴有异常症状。主治医生必须准备好面对异常的诊断和治疗问题。