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首页> 外文期刊>Toxicon: An International Journal Devoted to the Exchange of Knowledge on the Poisons Derived from Animals, Plants and Microorganisms >Envenomation by a western green mamba (Dendroaspis viridis) - A report of three episodes in Switzerland
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Envenomation by a western green mamba (Dendroaspis viridis) - A report of three episodes in Switzerland

机译：由西部绿色曼巴（Dendroaspis Viridis）的engenomation - 瑞士三集的报告

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摘要

The African elapid snake genus Dendroaspis comprises four species, with D. polylepsis the most dangerous of them. D. viridis is believed to cause stronger neurotoxic symptoms than the potentially least toxic of the genus, D. angusticeps, but seems less toxic compared to either of the D. jamesoni species (D. j. jomesoni(TRAILL 1843) and D. j. kaimosae (Loveridge 1936)). We present three episodes of bites by D. viridis in the same patient, sustained on three different occasions, caused by three different and unrelated snakes. While the first bite remained oligosymptomatic with a slight tightness of the throat and speedy resolution of symptoms without specific therapy, episodes two and three resulted in the patient developing massive local swelling. However, the patient showed only minimal neurologic and systemic symptoms such as tightness of the throat and a tingling sensation of the body. Episode two resolved with fasciotomy after compartment syndrome was diagnosed with a measured intracompartmental pressure of 52 mmHg. In episode three, antivenom was administered with good resolution of symptoms.
机译：非洲Elapid Snake Genus dendroaspis包含四种物种，D. Polylepsis是最危险的。 D. viridis被认为比胰岛D. angusticeps的潜在最不毒性，但与D. Jamesoni物种中的任何一种似乎且似乎似乎对毒性最低的毒性更低（D.J.Jomesoni（Traill 1843）和D.J 。Kaimosae（Loveridge 1936））。我们在同一患者中展示了D. Viridis的三个叮咬剧集，由三种不同的场合持续，由三种不同和无关的蛇引起。虽然第一批咬伤较低，但喉咙略微紧绷，并且在没有特异性治疗的情况下患有症状的速度快速分辨，第两次和三次导致患者发育巨大的局部肿胀。然而，患者只显示最小的神经系统和全身症状，例如喉咙的紧绷和身体的刺痛感。在隔室综合征被诊断为测量的胞间压力为52mmHg后，两集两次用粘性术治疗。在第三集中，抗血血症以良好的分辨率给药。

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