氹仔......南部边境。

IF 1.1 4区医学 Q3 ANESTHESIOLOGY

Anaesthesia and Intensive Care Pub Date : 2024-09-01 Epub Date: 2024-09-05 DOI:10.1177/0310057X241247852

Rachel Heap, Aaron Kennedy, William Davies, Theo Tasoulis, Geoffrey K Isbister

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引用次数: 0

摘要

我们介绍了一例在新南威尔士州北部发生的严重奚班毒液中毒事件，患者是一名 68 岁的男性。他出现了严重的神经中毒，需要插管和通气，毒液诱发消耗性凝血病、肌毒性和血栓性微血管病，并伴有急性肾损伤，需要透析。根据指南和该地区的蛇类分布情况，为他注射了褐蛇和虎蛇抗蛇毒血清。由于担心神经毒性的严重性，经临床毒理学会诊，并同时报告该地区有一条大班蛇，因此在血清中检测到大班蛇毒液（72 纳克/毫升）。有鉴于此，在新南威尔士州东北部和昆士兰州东南部储备并考虑使用多价抗蛇毒血清进行治疗是明智之举。

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Taipan envenoming … south of the border.

We present a case of severe taipan envenoming in northern New South Wales in a 68-year-old man. He developed severe neurotoxicity requiring intubation and ventilation, venom-induced consumption coagulopathy, myotoxicity and thrombotic microangiopathy with acute kidney injury requiring dialysis. He was administered brown and tiger snake antivenom consistent with guidelines and snake occurrence in the region. Taipan venom was detected in serum (72 ng/ml) following concern about the severity of neurotoxicity, clinical toxicology consultation and a concurrent report of a taipan in the area. Based on this it would be prudent to stock and consider treating with polyvalent antivenom in north-eastern New South Wales and south-eastern Queensland.

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来源期刊

Anaesthesia and Intensive Care 医学-麻醉学

CiteScore

2.70

自引率

13.30%

发文量

150

审稿时长

3 months

期刊介绍： Anaesthesia and Intensive Care is an international journal publishing timely, peer reviewed articles that have educational value and scientific merit for clinicians and researchers associated with anaesthesia, intensive care medicine, and pain medicine.