局部中毒由绿坑蛇复杂的呼吸道阻塞
Muhamad Akmal Selamat1, Lee Kee Choon1, Sazwan Reezal Shamsuddin1
1Department of Emergency and Trauma, Hospital Sultan Haji Ahmad Shah, Pahang, Malaysia.
与蛇有关的伤害 (SRI) 在马来西亚很常见. 早期识别有毒的坑蛇咬和潜在的呼吸道阻塞对于及时干预和患者生存至关重要.
科学领域:
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
- 类学 类学 类学 类学
背景情况:
- 与蛇有关的伤害 (SRI) 是热带地区,特别是马来西亚的一个重要的医疗紧急情况.
- 虽然大多数蛇咬是无毒的,但有毒的蛇咬可以导致严重的残疾或死亡.
- 马来西亚有16种记录的坑蛇物种,根据息地而有所不同.
研究的目的:
- 报告一个严重的蛇相关的伤害从坑蛇咬伤的病例.
- 突出认识到SRI患者危及生命的疾病的重要性.
- 强调迅速管理空气道的妥协.
主要方法:
- 一个案例报告,一名41岁的男性被Trimeresurus sabahi fucatus*咬伤了两次.
- 使用绿洞毒蛇抗毒剂 (GPAV).
- 由于上呼吸道逐渐阻塞而导致的紧急气管切除术.
主要成果:
- 患者出现了渐进的局部胀,导致上呼吸道阻塞.
- 需要进行紧急气管切除术.
- 他给了第二次抗毒药.
结论:
- 早期识别蛇物种,临床表现和SRI中的危急状况至关重要.
- 临床和实验室监测指导抗毒的必要性,但救命的程序,如输管不应该推迟.
- 头部SRI的胀延伸到部区域2是潜在的呼吸道阻塞的警告信号.
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