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題名 | A Case of Envenomation by Bungarus Multicinctus=雨傘節咬傷:病例報告 |
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作者 | 阮祺文; 伍福生; 張維恆; 李昭男; 周志中; Juan, Chi-wen; Wu, Francis FS; Chang, Wei-heng; Lee, Tom Chao-nan; Chou, Chu-chung; |
期刊 | 中華民國急救加護醫學會雜誌 |
出版日期 | 19990900 |
卷期 | 10:3 1999.09[民88.09] |
頁次 | 頁109-113 |
分類號 | 418.8 |
語文 | eng |
關鍵詞 | 雨傘節; 蛇咬; 蛇毒素作用; Bungarus multicinctus; Snakebite; Envenomation; |
中文摘要 | 在臺灣六種常見毒蛇中,以毒力及排毒量來說雨傘節排名第三,但若以咬傷後的死亡率來說雨傘節卻仍高居首位,主要是因為其快速地侵犯呼吸神經系統,導致呼吸麻痺衰而死亡,再加上雨傘節咬傷局部症狀常不明顯,極易讓病人本身或醫護人員忽略其嚴重性,錯失了治療的黃金時間,因此急診室醫護人員若對其中毒特性有完整的了解,在病人出現眼瞼下垂、胸悶等症狀時,給予正確的抗蛇毒血清及適時呼吸照護方面的支持,必能讓雨傘節咬傷的死亡率大大降低,我們報告這個雨傘節咬傷成功地處置個案分享經驗並回顧文獻,期能降低雨傘節咬傷的死亡率。 |
英文摘要 | In terms of the amount and toxicity of its venom, Bungarus multicinctus (B. multicinctus) places third on a list that includes six epidemiologically important venomous landsnakes in Taiwan. However, as a cause of mortality, B. multicinctus is at the top of the list. This is because the neurotoxic bungarotoxin can cause neuromuscular blockade of a victim's respiratory muscles, resulting in rapid deterioration in the patient's respiratory physiology which may lead to respiratory failure and death. In addition, the site of a snakebite by B. multicinctus often results in only a minimal local reaction, thus its importance may frequently be overlooked by both medical personnel and the patient, causing a delay in the golden hours of treatment. If emergency medical personnel have a clear understanding of the envenoming process and are able to give the appropriate antivenom and supportive respiratory care at the onset of ptosis or chest tightness, the mortality rate due to B. multicinctus can decrease dramatically. erein we present a successful experience managing a case of envenomation by B. multicinctus. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。