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1名女孩被地毯样蝰毒蛇咬伤后,导致脑梗塞形成,报告罕见的1例。患者女性,13岁,右利,沙特阿拉伯人,在放羊时右手被似图画样的蛇咬伤,几分钟后,右手与右臂剧烈的疼痛和肿胀。静脉注射多价抗蛇毒解毒剂30毫升后,未发生抗蛇毒血清反应。检查:生命体征平稳,右手中指和臂部见有很深的毒蛇咬伤的齿痕,显著肿胀。神经系统检查正常。约6小时后,右侧偏瘫、失语。血小板、出凝血时间皆正常。17天后,毒蛇咬痕消失、右臂肿胀减轻。3周后头颅CT扫描证实左侧顶部低密度阴影。用增强剂对比,见规则或匐行性阴影,与局灶性或多灶性梗塞几乎一致。继后数字减影(DSA),示左侧颈内动脉岩上段
One girl was bitten by a carpet-like snake venom, leading to cerebral infarction, a rare case was reported. Patient Female, 13, Rightwing, Saudi Arabian, bitten right by the seemingly snake while shepherding the sheep, and after a few minutes severe pain and swelling in her right and right arms. After intravenous injection of 30 ml multivalent anti-venom antidote, no anti-snake venom serum reaction occurred. Check: vital signs stable, right hand middle finger and arm saw a deep snake bite tooth marks, significant swelling. Nervous system examination is normal. About 6 hours later, the right hemiplegia, aphasia. Platelets, clotting time are normal. After 17 days, snake bites disappear, swelling of the right arm is reduced. Three weeks later, cranial CT scan confirmed the top of the left low density shadow. Contrast with the enhancer, see the rules or the shade of sex, and focal or multifocal infarction is almost the same. Subsequent digital subtraction (DSA), showing the upper left internal carotid artery