白头蝰蛇咬伤救治1例
摘要
<正>1 病例简介患者,男,54岁,于2018年8月9日23时入院。主诉:毒蛇咬伤1 h。患者于入院1 h前在家附近树林里被蛇咬伤左足,伤口局部疼痛,伴有少量出血,自行在左踝上方以布条绑扎。患者诉蛇头部呈淡黄色,背部黑褐色,有橘色条纹,部分条纹在蛇体背部中间相连成环状,部分错开,提示为白头蝰蛇咬伤。入院检查:神志清楚,左足咬伤处肿痛,无头痛、头昏,无眼花、胸闷、气促,无恶心、呕吐,小便颜色与量均正常;体温36.5℃,脉搏76次/min,血
引文
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[2] Litovitz TL,Klein-Schwartz W,White S,et al.2000 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System [J].Am J Emerg Med,2001,19(5):337-395.
[3] Warrell DA.Guidelines for the management of snake-bites[M].India:WHO Library,2010:1-151.
[4] 万力,张祥文,何川鄂,等.鄂西宜昌及周边地区毒蛇咬伤流行病学分析[J].临床急诊杂志,2016,17 (2):115-117.
[5] 龚旭初,杨万富.国内毒蛇咬伤流行病学研究现状[J].中国中医急症,2012,21(5):778-780.
[6] 赵尔宓,蔡春抹.白头蝰[J].动物学杂志,1978,1:42-43.
[7] 索建中,周友兵,江广华,等.湖北省发现蛇类新纪录——白头蝰[J].动物学杂志,2007,42(2):26.
[8] 潘沁艳,龚大洁,侯峰.保护古老珍稀蛇类——白头蝰[J].安徽农业科学,2011,39(1):305-306.