Splenic Rupture and Massive Hemoperitoneum Due to Coagulopathy after Atheris Viper Snakebite.
Splenic Rupture and Massive Hemoperitoneum Due to Coagulopathy after Atheris Viper Snakebite.
复制标题
蝰蛇蛇咬伤后因凝血障碍导致脾破裂和大量腹腔积血。
作者：
J. Valenta;Z. Stach;Eva Vagenknechtová;D. Hoskovec
伴随除纤维的凝血障碍是蛇咬伤中毒的症状之一，可能会发生危及生命的并发症，例如大出血和器官血肿形成。在这里，我们报告一例因非洲大湖丛林蝰蛇 Atheris nitschei 咬伤而导致血液凝固失败的病例，由于缺乏抗蛇毒血清而无法进行特殊治疗，并出现危及生命的并发症：非常罕见和意外的非外伤性脾破裂，伴有大量腹腔积血，需要紧急脾切除术。
Coagulopathy with defibrination is one of symptoms accompanying snakebite envenoming, where life-threatening complications such as massive bleeding and organ hematomas formation can occur. Here, we report a case of hemocoagulation failure due to bite by African Great Lakes bush viper Atheris nitschei with impossibility of specific treatment for absence of antivenom and its life-threatening complication: very rare and unexpected atraumatic splenic rupture with massive hemoperitoneum and necessity of urgent splenectomy.