「蛇吻」記特徵 有助治療

[MK]

http://udn.com/NEWS/HEALTH/HEA1/4972678.shtml

【聯合報╱記者施靜茹／台北報導】 2009.06.20 02:58 am


天氣愈來愈炎熱，被毒蛇咬傷案例增加，毒物科醫師表示，龜殼花愛溜進住家，尋找人類食物；青竹絲愛待在果園或竹林，最常出現咬傷人案例。

一名41歲婦人家住天母郊區，不久前，晚上到自家後院，蹲在地上整理庭園花草，突然被一條躲藏草叢的龜殼花咬傷前臂，蛇毒造成她手臂腫得像象腿，傷口淤血、疼痛、淋巴結腫大，連肩膀也腫起來。

婦人家屬趕忙將她送台北榮總臨床毒物科急救，並描述可能是被龜殼花咬傷，醫師給她兩劑抗蛇毒血清治療後，狀況才穩定下來，還是住院6天才出院，日前她回醫院看診，醫師發現她上臂還有一些瘀血未消。

台北榮總臨床毒物科醫師楊振昌表示，夏天蛇類活躍，龜殼花性喜溫暖，愛溜進住家找人類食物，青竹絲則愛待在果園或竹林，住郊區或山區的民眾，晚上外出尤其要小心。

龜殼花和青竹絲都屬出血性毒蛇，蛇毒會造成咬傷處腫脹、淤血、疼痛，若不趕快治療，腫脹會迅速由咬傷處向上擴展，並可能導致肌肉壞死、血壓下降、昏迷或休克全身性症狀。

眼鏡蛇和雨傘節則為神經性毒蛇，被咬後數10分鐘到1、2小時內，會有吞嚥困難、肌肉無力痙縮、瞳孔擴大、呼吸衰竭等嚴重症狀。

楊振昌說，被毒蛇咬到，最好是記清楚蛇的外觀和特徵，必要時把打死的蛇帶到醫院，有助選擇適當的抗蛇毒血清治療。

他表示，被咬後儘量不要移動患肢，並使其低於心臟，也不可把患者的傷口冰敷或冷敷，免得組織壞死，並記得去除患者身上戒指或其他束縛，如果要用彈性繃帶，必須包紮在傷口上方後趕快送醫。

【2009/06/20 聯合報】

[growthcamp]

台灣的蛇沒幾種~
有毒的又常見也就是那幾隻!
要被稀有的毒蛇,像是菊池是龜殼花咬到,還真的是不容易~
以各位大大的聰明頭腦,應該可以直接把那幾種背起來才是!!!

[brufenfever]

急診常碰到

[adsldns]

囧
看到標題我完全把它當成舌吻
我還以為是記住性伴侶的特徵
有助治療不舉之類的@@

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