Viper (Agkistrodon halys "mamushi") bite with shock-Bleeding diathesis and serious hematemesis.
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- Ishida Takeshi
- Department of Surgery, Hyogo Prefectural Awaji Hospital
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- Matsuda Shozo
- Department of Surgery, Hyogo Prefectural Awaji Hospital
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- Koyama Takashi
- Department of Surgery, Hyogo Prefectural Awaji Hospital
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- Kurisu Shigeru
- Department of Surgery, Hyogo Prefectural Awaji Hospital
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- Ohyabu Hisanori
- Department of Surgery, Hyogo Prefectural Awaji Hospital
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- Shibata Masaki
- Department of Surgery, Hyogo Prefectural Awaji Hospital
Bibliographic Information
- Other Title
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- 受傷後早期にショック・出血傾向・大量吐血を呈したマムシこう傷の1例
- Bleeding Diathesis and Serious Hematemesis
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Abstract
We report an unusual case of a 63-year-old man supposedly bitten by a mamushi, who developed shock, bleeding diathesis and serious hematemesis at an early stage. About 10 minutes after the mamushi bite, he fell into shock transiently, and 2 hours later, continious bleeding from the bite wound and an injection site was observed. This platelet count decreased markedly to 1.3×104/mm3 resulting in serious hematemesis. Four hours after the bite, we injected Agkistrodon halys antivenin (6, 000U) with methylpredonisolone sodium succinate 500mg and the bleeding from the bite wound and hematemesis improved remarkably. Twelve hours after the bite, the platelet count had increased to 27.1×104/mm3, and the patient had recovered from the bleeding diathesis. Mamushi bites are sometimes complicated by DIC (disseminated intravascular coagulation) as a result of massive tissue necrosis, however, there was severe thrombocytopenia and bleeding diathesis in this case, even though the local swelling and muscle necrosis were not serious. It is very important to closely monitor patients after mamushi bites, and mamushi antivenin should be used early without hesitation when these complications are observed.
Journal
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- Nihon Kyukyu Igakukai Zasshi
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Nihon Kyukyu Igakukai Zasshi 6 (4), 362-365, 1995
Japanese Association for Acute Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390001204370449536
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- NII Article ID
- 10005274087
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- NII Book ID
- AN10284604
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- ISSN
- 18833772
- 0915924X
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed