儿科毒蛇中毒因分区综合征而复杂化
Hosam M Elghadban1, Deep Parkash2, Al Majd A Al Yazidi3
1General Surgery, Ibra Hospital, Ibra, OMN.
Cureus
|February 12, 2026
概括
一个孩子的状毒蛇中毒导致了急性隔间综合征 (ACS). 迅速的切切割和伤口护理成功地保存了四肢功能,突出了早期识别.
科学领域:
- 毒理学 毒理学 毒理学
- 儿科医学 儿科医学
- 血管外科 血管外科
背景情况:
- 毒蛇的毒害会导致显著的系统和局部并发症.
- 急性隔间综合征 (ACS) 是一种罕见的,危及四肢的毒性并发症,由于沟通障碍和胀,在儿科患者中诊断特别具有挑战性.
- (Echinus carinatus) 在阿曼普遍存在,导致大量的中毒和凝血病.
研究的目的:
- 报告一例罕见的急性隔间综合征 (ACS) 病例,该病例发生在一个小儿科患者身上,该病例发生在蛇咬伤后.
- 强调早期识别和手术干预对治疗儿童中毒诱导的ACS的重要性.
- 突出有效的术后伤口管理策略,以保护四肢功能.
主要方法:
- 一个案例报告,一个三岁的雌性出现了状蛇咬脚的病例.
- 临床评估包括连续多普勒超声波来监测动脉流量和毛细血管补充时间.
- 管理涉及及及时的抗毒疗法和疑似ACS的新兴纤维切除术.
- 术后护理包括开放性伤口管理,定期更换带.
主要成果:
- 患者在中毒后出现了快速胀和严重的凝血病.
- 多普勒超声显示动脉波形的逐渐恶化,表明输液受损.
- 在入院后3小时内出现的带切除术导致动脉 perfusion 在手术期间显著改善.
- 患者经历了成功的伤口愈合的次要意图,保存四肢功能.
结论:
- 毒化诱导的急性隔间综合征 (ACS) 是儿科患者罕见但至关重要的并发症.
- 早期诊断,手术减压 (筋切割) 和细致的术后伤口护理对于预防肢体损失至关重要.
- 这一案例凸显了儿童蛇咬伤受害者中对ACS的高度警的必要性.
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