An Unnecessary Russell's Viper Bite on the Tongue Due to Live Snake Worship and Dangerous First Aid Emphasise the Urgent Need for Stringent Policies.
An Unnecessary Russell's Viper Bite on the Tongue Due to Live Snake Worship and Dangerous First Aid Emphasise the Urgent Need for Stringent Policies.
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DOI：
10.3390/toxins14120817
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发表时间：
2022-11-22
期刊：
影响因子：
4.2
通讯作者：
Vaiyapuri S
中科院分区：
文献类型：
--
作者：
Senthilkumaran S;Arathisenthil SV;Williams J;Williams HF;Thirumalaikolundusubramanian P;Patel K;Vaiyapuri S
印度是世界上蛇咬伤中毒（SBE）发生率最高的国家。印度和其他国家的农村社区长期以来一直围绕着蛇和SBE治疗的文化信仰，许多印度教寺庙中都有蛇雕像。虽然大多数文化信仰受到尊重，不影响任何人，但有些人崇拜活毒蛇，没有任何安全预防措施。此外，他们采用各种不适当的急救和传统治疗方法，加剧了SBE引起的并发症。我们报告一个不寻常的情况下，SBE的舌头上的病人谁被咬伤，而崇拜罗素的毒蛇以下的建议，占星家的基础上出现的蛇在病人的梦想。在咬伤后，牧师将舌头深深切开，作为急救措施，以减轻SBE引起的并发症。患者出现大量出血和舌头肿胀，导致插管困难。患者在抗蛇毒血清给药、鼻内通气和口腔抽血后恢复意识。舌头接受了广泛的手术，以恢复运动和功能。这份报告建议那些从事崇拜活蛇的极端危险做法的人要谨慎，并强调迫切需要制定和执行政策，以减轻这种行为并教育农村社区。
India suffers the highest incidence of snakebite envenomation (SBE) in the world. Rural communities within India and other countries have long-held cultural beliefs surrounding snakes and SBE treatments, with snake statues present in numerous Hindu temples. While most cultural beliefs are well respected and do not affect anyone, some people worship live venomous snakes without any safety precautions. Moreover, they practice various inappropriate first aid and traditional treatments that exacerbate SBE-induced complications. We report an unusual case of SBE on the tongue of a patient who was bitten while worshipping Russell’s viper following the advice of an astrologer based on the appearance of a snake in the patient’s dream. Following the bite, the tongue was deeply incised by the priest as a first aid to mitigate SBE-induced complications. The patient suffered profuse bleeding and swelling of the tongue resulting in difficulties in intubating them. The patient regained consciousness after antivenom administration, intranasal ventilation, and blood removal from the mouth. The tongue underwent extensive surgery to restore movement and function. This report advises caution to those undertaking the extremely risky practice of worshipping live snakes and emphasises the urgent need to develop and enforce policies to mitigate such actions and educate rural communities.
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影响因子：
2.5
作者：
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通讯作者：
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影响因子：
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影响因子：
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影响因子：
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