猪多价免疫抗蛇毒血清延迟使用的效果观察。

Vikhyat Bebarta, Richard C Dart
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引用次数: 12

摘要

传统上,以马血清为基础的抗蛇毒血清在美国被用于北美的蛇毒检测。Crotalidae多价免疫Fab(羊)于2000年被批准用于轻度至中度中毒。制造商建议在中毒后6小时内使用。已发表的上市后回顾性报告描述了其在中毒后9小时的使用情况。我们描述了一例在中毒52小时后有效使用FabAV的病例,结果是凝血功能的纠正和局部症状的轻度改善。
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Effectiveness of delayed use of crotalidae polyvalent immune Fab (ovine) antivenom.

Traditionally, horse-serum-based antivenom has been used in the United States for North American crotaline snake evenomation. Crotalidae polyvalent immune Fab (ovine) was approved in 2000 for use in mild to moderate envenomations. The manufacture recommends use within 6 h of envenomation. Published postmarketing retrospective reports describe its use up to 9 h after envenomation. We describe a case of effective use of FabAV 52 h after envenomation with resultant correction of coagulopathy and mild improvement of local symptoms.

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