Role of Anti Snake Venom in Snake Bite in Third Trimester of Pregnancy

P. Sowmya, T. Sirohi, Nitesh Jindal, Sanchit Bhandari
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Abstract

A case of pregnancy associated with neurotoxic snake bite presenting with Neuropathic symptoms and systemic envenomation complicated by disseminated intravascular bleeding is uncommon. We present a case of 22-year-old Primigravida at 32 weeks gestation with snake bite on left-hand, with left-hand swelling, nasal bleeding and neuropathic signs. At presentation, there was pallor, tachycardia, hypotension, a gravid uterus with a single live fetus, & regular fetal heart rate. Primi Gravida with venomous snake bite with Neuropathy with disseminated intravascular Coagulation was diagnosed. Conservative management with Anti Snake Venom instituted led to survival of both mother and continuation of pregnancy.
抗蛇毒在妊娠晚期蛇咬伤中的作用
一例妊娠合并神经毒性蛇咬伤表现为神经性症状和全身中毒并发弥散性血管内出血是罕见的。我们报告了一例22岁的孕32周的初孕妇女,左手被蛇咬伤,左手肿胀,鼻出血和神经性症状。就诊时,患者面色苍白,心动过速,低血压,妊娠子宫单胎,胎儿心率正常。首次妊娠合并毒蛇咬伤并神经病变伴弥散性血管内凝血。保守管理与抗蛇毒制定导致生存的母亲和继续怀孕。
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