Snake venom ophthalmia and blindness caused by the spitting cobra (Naja nigricollis) in Nigeria.

Snake venom ophthalmia and blindness caused by the spitting cobra (Naja nigricollis) in Nigeria.
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尼日利亚由吐眼镜蛇(Naja nigricollis)引起的蛇毒眼炎和失明。

DOI:
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发表时间:
1976
影响因子:
3.3
通讯作者:
L. Ormerod
L. Ormerod
中科院分区:
医学4区
文献类型:
--
作者:
D. Warrell;L. Ormerod

文献摘要

被引文献

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黑颈眼镜蛇(Naja nigricollis)吐出的毒液进入9例患者的眼睛。在5例患者中,唯一的影响是单纯的结膜炎,但4例发生角膜溃疡,1例发生前葡萄膜炎,表明前房中的毒液吸收,2例永久失明。讨论了这种罕见的紧急情况的治疗:立即用水冲洗眼睛,仔细检查角膜擦伤,并建议预防继发感染。当地特异性抗蛇毒血清的价值尚未得到证实。
Venom entered the eyes of 9 patients spat at by the spitting cobra, Naja nigricollis. In 5 the only effect was a simple conjunctivitis but 4 had corneal ulceration, 1 developed anterior uveitis indicating absorption of venom in the anterior chamber, and 2 were permanently blinded. Treatment of this rare emergency is discussed: immediate irrigation of the eye with water, careful examination for corneal abrasion, and prevention of secondary infection are recommended. The value of local specific antivenom is unproven.