中脑动脉区域 继拉塞尔毒蛇中毒后出现的缺血性心脏病发作:一个病例报告
Vijayakumaran Yanusha1, Pakkiyaretnam Mayurathan2,3, Sithy Sabrina4
1Internal Medicine, Batticaloa Teaching Hospital, Batticaloa, LKA.
Cureus
|December 10, 2025
概括
拉塞尔的蛇咬可以导致缺血性中风,即使在抗毒治疗后. 这种罕见的并发症可能是毒素诱导的血管炎和内皮损伤造成的,这凸显了热带地区的重大公共卫生问题.
科学领域:
- 神经学 神经学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 蛇毒是斯里兰卡等热带国家的主要健康问题.
- 拉塞尔的毒蛇咬伤会引起局部和全身的影响,但缺血性中风是一个报告不足的并发症.
研究的目的:
- 报告一个罕见的缺血性中风病例,该病例发生在拉塞尔蛇咬后.
- 在这种情况下,研究中风的潜在机制.
主要方法:
- 一个40岁的男子被罗素蛇咬伤的案例研究.
- 大脑成像 (NCCT) 来识别心脏病发作.
- 排除了常见的中风原因.
主要成果:
- 尽管及时使用抗毒剂,但患者患上左中脑动脉区域缺血性心脏病发作.
- 排除了常见的中风病因.
- 这些发现表明,蛇毒和脑血管损伤之间存在联系.
结论:
- 缺血性中风是一种罕见的,但可能是罗素毒蛇中毒的后果.
- 毒素诱导的血管炎和内皮损伤是可能的机制.
- 这一案例强调了需要提高意识和进一步研究罗素蛇毒毒的神经毒性作用的必要性.
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