毒蛇咬伤后相关并发症的研究进展

Research progress on complications after snakebite

毒蛇咬伤是一种常见的临床急症,具有发病急、病情变化迅速、致残率及死亡率高等特点。蛇毒中毒除出现常见的全身性和局部组织损伤外,还会引起显著的毒蛇咬伤并发症,包括即时性和延迟性。这些并发症也是导致毒蛇咬伤致残甚至死亡的主要原因,严重影响患者的远期预后及生活质量。该文综合新近的研究成果,重点从血液系统、神经系统、运动系统、内分泌系统、生殖系统及其他方面对毒蛇咬伤并发症的症状、诊断及治疗进行综述,以期在临床上为毒蛇咬伤有效、精准治疗提供参考。

Snakebite is a common clinical emergency with the characteristics of acute onset,rapid changes in condition,and high disability and mortality rates.In addition to the common systemic and local tissue damage,snake envenomation can cause significant complications,including immediate and delayed effects.These complications are the main causes of disability and even death caused by snakebites,which seriously affect the long-term prognosis and quality of life.This article summarizes the symptoms,diagnosis,and treatment of snakebite complications from the aspects of blood,nervous,motor,endocrine,and reproductive systems and other aspects to provide references for effective and precise treatment of snakebite in clinical practice.