狗被蛇咬伤的顺势疗法--病例报告

Silvia Helena Fernandes Alves, C. Coelho, Adalberto von Ancken, Cintia Regina Fabbrini
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摘要

被蛇咬伤的事故在林区附近非常常见。这些事故大多是由分布在中美洲和南美洲的超过 45 个种类的双尾蛇属蛇造成的。这些蛇通常在黄昏时捕食小型哺乳动物和蜥蜴。该蛇属的蛇咬伤一般发生在头部、四肢和颈部。双齿蛇被认为是具有攻击性的动物,其特征是身体上有倒 "V "形斑纹,头部呈三角形,尾部光滑,体长在 0.5 米到 2 米之间。它们的颜色有棕色、绿色和灰色。两栖类毒液具有坏死、凝固、血管毒性和肾毒性作用,可导致咬伤部位大面积坏死、组织损失和肢体功能障碍,有时甚至导致截肢。被咬伤的动物可能会出现虚脱、呼吸急促、局部水肿和疼痛、瘀斑、出血和大面积坏死。还可能出现血尿、低血压、肺水肿,甚至死亡以及各种实验室异常。本文报告的病例发生在巴西米纳斯吉拉斯州坎波斯阿尔托斯的一家兽医诊所。这是一只混血雌性犬,3 岁,体重 4.5 千克,大约 90 分钟前被一条 Bothrops 蛇咬伤。咬伤部位(骨盆肢体)出现水肿和疼痛,并伴有心动过速。医生立即为它静脉注射了多价抗蛇毒血清、地塞米松、血清、呋塞米、曲马多和头孢曲松(抗生素)。局部治疗包括皮质类固醇和抗生素软膏敷料。动物的病情保持稳定,但 24 小时后,观察到咬伤部位出现大面积水肿、血肿、出血和早期坏死,且每过一小时情况就会恶化。48 小时后,开始使用 Bothrops CH6(每 8 小时 5 球)治疗,以减轻局部影响(水肿、出血和坏死)。治疗 5 天后,动物的皮损外观迅速得到改善,不再出现水肿或出血,仅有一圈皮肤损伤,局部包扎(清洁和愈合软膏)后即可处理。动物恢复良好,没有留下任何后遗症。
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Homeopathic Treatment of snakebite in dog – case report
Snakebite accidents are very common nearby forest areas. The majority of these incidents are caused by snakes of the genus Bothrops, which comprises over 45 species distributed in Central and South America. These snakes usually hunt small mammals and lizards at dusk. Snakebites from this genus generally occur in the head, limbs, and neck regions. Bothrops snakes are considered aggressive animals, characterized by inverted "V" markings along their bodies, triangular heads, smooth tails, and length ranging from 0.5m to 2m. They exhibit color variations of brown, green, and gray. Bothrops venom has necrotic, coagulating, vasculotoxic, and nephrotoxic effects, which can cause extensive necrosis at the bite site, tissue loss, and limb dysfunction, sometimes resulting in amputation. The bitten animal may experience prostration, tachypnea, localized edema and pain, petechiae, hemorrhages, and extensive necrotic areas. Hematuria, hypotension, pulmonary edema, and even death, as well as various laboratory abnormalities, may also occur. The case reported herein was attended at a veterinary clinic in Campos Altos, Minas Gerais, Brazil. It involved a mixed-breed female dog, 3 years old, weighing 4.5 kg, which had been bitten by a Bothrops snake approximately 90 minutes before. The animal presented edema and pain at the site of the bite (pelvic limb), as well as tachycardia. At once, it was administered intravenous polyvalent antiophidic serum, dexamethasone, serum, furosemide, tramadol, and ceftriaxone (antibiotic). Local treatment included corticosteroid and antibiotic ointment dressings. The animal remained stable, but after 24 hours, an extensive area with edema, hematoma, bleeding, and early necrosis at the bite site was observed, worsening with each passing hour. After 48 hours, therapy with Bothrops CH6 (5 globules every 8 hours) was initiated to reduce local effects (edema, hemorrhage, and necrosis). The animal showed rapid improvement in the appearance of the lesion, and after 5 days of treatment, there was no longer edema or bleeding, only a circumscribed cutaneous injury, which was managed with local dressings (cleaning and healing ointment). The animal recovered well without any sequelae.
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