Zusammenfassung
Wir berichten über die Verletzung eines 27-jährigen durch den Biss einer Hornviper
in den linken Mittelfinger. Im Vordergrund standen Allgemeinsymptome (Thrombozytopenie,
Fibrinolyse und Rhabdomyolyse), die eine intensivmedizinische engmaschige Überwachung
und die Verabreichung eines Antiserums erforderlich machten. Lokal war hingegen nur
eine Nekrektomie mit anschließender Spalthautdeckung notwendig.
Abstract
We report on the snakebite injury of a 27-year-old male patient by a saharan horned
viper in his left middle finger. General symptoms (thrombocytopenia, fibrinolysis
and rhabdomyolysis) were leading and required observation at close intervals on intensive
care unit and the application of a specific antiserum. At the finger a local necrectomy
for the haemorrhagic necrosis was needed, followed by split-skin grafting for tissue
coverage.
Schlüsselwörter
Key words
Literatur
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Korrespondenzadresse
Dr. Daniel Talanow
Bergmannsheil und Kinderklinik
Buer gGmbH
Klinik für Plastische und
Ästhetische Chirurgie,
Handchirurgie, Intensivstation
für Schwerbrandverletzte
Schernerweg 4
45894 Gelsenkirchen
Email: dtalanow@hotmail.com