Denis D, Lamireau T, Llanas B, Bedry R, Fayon M
Pediatric Emergency Unit, Hôpital Pellegrin-Enfants, Bordeaux, France.
Acta Paediatr. 1998 Sep;87(9):1013-5. doi: 10.1080/080352598750031743.
The case of a child who presented with severe rhabdomyolysis associated with renal failure after a viper bite is reported. Rhabdomyolysis is a serious complication resulting from systemic envenomation and is uncommon after viper bites in Europe. It may be due to oedema, myotoxic agents and haemorrhagic factors and may be responsible for two types of potentially fatal complications, i.e. acute renal failure and hyperkalaemia. The present case highlights the need to investigate routinely for rhabdomyolysis after viper bites. Antivenom therapy is recommended as soon as signs of envenomation are present, without waiting for the onset of complications.
报告了一例儿童在被蝰蛇咬伤后出现严重横纹肌溶解并伴有肾衰竭的病例。横纹肌溶解是全身中毒导致的严重并发症，在欧洲蝰蛇咬伤后并不常见。它可能是由水肿、肌毒性物质和出血因素引起的，可能导致两种潜在的致命并发症，即急性肾衰竭和高钾血症。本病例强调了蝰蛇咬伤后常规检查横纹肌溶解的必要性。一旦出现中毒迹象，建议立即进行抗蛇毒血清治疗，而不必等待并发症的出现。
