頁籤選單縮合
題 名 | The Painful Experience of Inappropriate Therapy of Snake Bites:A Report of Two Cases=毒蛇咬傷治療不當的痛苦經驗 |
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作 者 | 洪東榮; 吳天成; 鄧昭芳; | 書刊名 | 中華醫學雜誌 |
卷 期 | 60:6 1997.12[民86.12] |
頁 次 | 頁326-330 |
分類號 | 418.8 |
關鍵詞 | 蛇毒血清; 毒蛇咬傷; 蛇毒; Antivenin; Snake bite; Venom; |
語 文 | 英文(English) |
中文摘要 | 確認蛇種及使用專一的抗蛇毒血清是治療毒蛇咬傷的不二法門。在臺灣有六種常見的毒蛇臨床上的咬傷比較重要。市面上有二種多價抗蛇毒血清及一種單價抗蛇毒血清,可用來治療毒蛇咬傷。但由於毒蛇咬傷症狀的複雜性及蛇種鑑定的問題,如何緊急處理毒蛇咬傷及使用正確的抗蛇毒血清,仍是毒物中心有關毒蛇咬傷電話諮詢最常見的問題之一。處理不當可能使病人復原減緩、產生併發症、甚至死亡。我們報告二個因為治療不當而引起嚴重後果的毒蛇咬傷個案,並回顧文獻,討論臺灣毒蛇咬傷適當的緊急處置。 |
英文摘要 | Recognizing the exact species of snake and specific antivenin administration are the most important modality of treatment for poisonous snake bites. In Taiwan, there are six kinds of medically important snakes-two species of Elapidae and four species of Viperidae. Two kinds of polyvalent antivenins and one monovalent antivenin are available. But for snake bites, questions about the prescription of antivenins are still the major problems addressed to the Poison Control Center. Improper use of antivenin may delay a patient's recovery from snake poisoning and even lead to mortality. Here, two cases of snake bites are presented. Each had severe complications and mortality as a result of inappropriate therapy, and the most rational management of snake bite in Taiwan is discussed, too. |
本系統中英文摘要資訊取自各篇刊載內容。