FATAL CEREBRAL-HEMORRHAGE AFTER TIGER SNAKE (NOTECHIS-SCUTATUS) ENVENOMATION

被引：24

作者：

TIBBALLS, J ^{[1
]}

HENNING, RD ^{[1
]}

SUTHERLAND, SK ^{[1
]}

KERR, AR ^{[1
]}

机构：

[1] COMMONWEALTH SERUM LABS,PARKVILLE,VIC 3052,AUSTRALIA

来源：

MEDICAL JOURNAL OF AUSTRALIA | 1991年 / 154卷 / 04期

关键词：

D O I：

10.5694/j.1326-5377.1991.tb121091.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: This case report illustrates the threat to life posed by tiger snake venom-induced coagulopathy, the importance of first-aid, precautions with antivenom administration, the dose of antivenom and the necessity to monitor the coagulation status. Case summary: An 11-year-old child was envenomated several times by a tiger snake (Notechis scutatus). Despite administration of three ampoules (9000 units) of tiger snake antivenom, fatal cerebral haemorrhage occurred. Inadequate first-aid had been applied. The bite was covered with a loose bandage instead of a pressure-immobilisation bandage. In hospital, facilities to monitor coagulation status were unavailable. Conclusions: More public education is required in first-aid management of snake envenomation. Frequent monitoring of coagulation status is necessary to optimise antivenom and coagulation factor therapy.

引用

页码：275 / 276

页数：2