抗蛇毒血清治疗急性心肌梗死(AMI)。

Waleed Salem, Mohamed Gafar Abdelrahim, Layth Al Majmaie, Mohammed Dahdaha, Faten Al-Bakri, Amr Elmoheen
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引用次数: 1

摘要

蛇咬伤后的心脏并发症并不常见,但却是致命的。在此,我们讨论一例蛇咬伤导致急性心肌梗死(AMI)。45岁男性因右手中指被蛇咬伤被送往急诊室。给予对症治疗并留院观察。他的生命体征和初步检查正常,除了白细胞计数高。观察期间,患者出现呕吐和心动过缓。心电图诊断为右束支传导阻滞。患者于数小时后出现胸痛,心电图诊断为急性心肌梗塞。毒理学小组开始了抗蛇毒血清治疗。他的肌钙蛋白最初持续升高,但后来在没有经皮介入治疗(PCI)的情况下开始下降。经抗蛇毒血清治疗成功出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Acute Myocardial Infarction (AMI) Treated with Snake Antivenom.

Cardiac complications following snakebites are uncommon but fatal. Here, we discuss a case of a snakebite that led to acute myocardial infarction (AMI). Forty-five-year-old male presented to the emergency room with snakebite on the right middle finger. He was given symptomatic treatment and admitted for observation. His vital signs and initial investigations were normal except for the white blood count that was high. During observation, he developed vomiting and bradycardia. He was diagnosed with a right bundle branch block on ECG. The patient developed chest pain after a few hours and was diagnosed with AMI on ECG. The toxicology team started antivenom therapy. His troponin kept rising initially but later started coming down without percutaneous intervention (PCI). He was treated successfully with antivenom therapy and discharged.

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审稿时长
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