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危型竹叶青蛇伤性DIC的救治
引用本文:游剑明,饶新,何炳贵.危型竹叶青蛇伤性DIC的救治[J].蛇志,2003,15(1):14-16.
作者姓名:游剑明  饶新  何炳贵
作者单位:广东医学院附属湛江中心医院,广东,湛江,524037
摘    要:目的:通过比较单纯中医药治疗与抗蛇毒血清及中西医结合救治方法,观察竹叶青蛇伤性DIC患者的疗效。方法:用抗蛇毒血清、立止血及中西医结合的方法。从1996年8月至2002年9月,共收治危型竹叶青蛇伤性DIC患者25例。结果:25例均治愈。结论:抗蛇毒血清的早期应用是有效方法。抗五步蛇毒血清或抗蝮蛇毒血清和立止血合用,可以对竹叶青蛇毒的出血毒素和促凝毒性起较好的中和作用。

关 键 词:竹叶青蛇  救治  抗蛇毒血清  中西医结合  疗效  蛇伤
文章编号:1001-5639(2003)01-0014-03

Medical Aid for Critical Trimeresurus stejnegeri Schmidt Bite and Disscminated Intravascular Coagulation
YOU Jian ming,RAO Xin,HE Bing gui.Medical Aid for Critical Trimeresurus stejnegeri Schmidt Bite and Disscminated Intravascular Coagulation[J].Journal of Snake,2003,15(1):14-16.
Authors:YOU Jian ming  RAO Xin  HE Bing gui
Abstract:Objective To compare chinese medicinal herbs and antivenomous serum and combination traditional medicine with western medicine, Observation of curative effect of Trimeresurus stejnegeri Schmidt bite and disscminated intravascular coagulation Methods Antivenomous serum and reptilase and the treatment by combine traditional medicine with western medicine were applied From August 1996 to September 2002, 25 cases were treated Result 25 cases were cured Conclusions The early application of Agkistrodon acutus guenther antivenomous serum or Agkistrodon blomhoffii boie antivenomous serum were effective Judicious use of antivenomous serum and reptilase can be neutralized for hemorrhage toxins and coagulation-promoting toxicity in Trimeresurus stejnegeri snake venom Emergency care for patients of severely poisoning were discussed
Keywords:Trimeresurus stejnegeri Schmidt snake  disscminatesd intravascular coagulation (DIC)  antivenomous serum  reptilase  emergency care
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