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本文分析了14例眼镜蛇、银环蛇(含神经毒)中毒合并肺炎患者的临床资料,结果提示:合并肺炎占20.9%,神经毒症状表现均不突出。据文献报告中华眼镜蛇伤神经毒症状表现不突出,银环蛇伤神经毒症状比较突出。本组有4例银环蛇伤患者未出现呼吸麻痹,作者认为:并非每例均发生呼吸麻痹,这可能与咬伤的严重程度与机体吸收毒素的量及及时治疗有关。尽管对蛇伤中毒机理的了解及其治疗有所进展,合并症的发病机理仍有待更深入的研究。
This article analyzes the clinical data of 14 cobra, Bungarus snake (neurotoxic) poisoning patients with pneumonia, the results suggest that: pneumonia accounted for 20.9%, the performance of neurotoxic symptoms are not prominent. According to the literature reported cobra snake injury neurotoxicity symptoms are not prominent, silver snake snake injury neuropathic symptoms more prominent. In this group, 4 cases of Bungarus snakeburn did not appear respiratory paralysis, the author believes that: not every case occurred respiratory paralysis, which may be related to the severity of the bite and the body to absorb the amount of toxins and timely treatment. Despite the understanding of the mechanism of snake poisoning and its progress in treatment, the pathogenesis of comorbidities remains to be further studied.