RESUMO
La mordedura de víbora es, con mucho, el accidente ofídico más frecuente en nuestro país. Causa entre 100 y 150 ingresos anuales en España, siendo difícil saber el número real de urgencias atendidas por este motivo. Una correcta clasificación del grado de envenenamiento y la utilización de antivenenos son la clave para un adecuado manejo de la situación. Actualmente las controversias sobre el uso o no de antivenenos están siendo superadas debido a su alta purificación, el descenso de las reacciones alérgicas que producen y a su eficacia terapéutica. Este artículo pretende ser una puesta al día sobre la atención en Urgencias de esta afección, exponiendo de forma clara las posibilidades de tratamiento (AU)
Viper snake bite is, by far, the most common ophidian accident in Spain. It is responsible for between 100 and 150 hospitalizations per year in this country, although it is difficult to determine the frequency of emergency admissions due to this cause. The cornerstone to their approach rests on the correct evaluation of the possible effects derived from envenomation and the use of anti-venoms. In spite of all the controversies surrounding the use of anti-venoms, they have become a powerful therapeutic weapon ever since the serum has been highly purified and the great decrease of related anaphylactic reactions. The aim of this article is to update the emergency room procedures when viper bites are suspected, and to clarify the main therapeutic recommendations (AU)
Assuntos
Humanos , Masculino , Feminino , Venenos de Víboras/análise , Venenos de Víboras/isolamento & purificação , Mordeduras de Serpentes/complicações , Mordeduras de Serpentes/terapia , Medicina de Família e Comunidade/organização & administração , Medicina de Família e Comunidade/normas , Venenos de Crotalídeos/análise , Venenos de Crotalídeos/toxicidade , Venenos de Serpentes/análise , Venenos de Serpentes/isolamento & purificação , Intoxicação/classificação , Intoxicação/complicações , Intoxicação/terapiaRESUMO
Viper snake bite is, by far, the most common ophidian accident in Spain. It is responsible for between 100 and 150 hospitalizations per year in this country, although it is difficult to determine the frequency of emergency admissions due to this cause. The cornerstone to their approach rests on the correct evaluation of the possible effects derived from envenomation and the use of anti-venoms. In spite of all the controversies surrounding the use of anti-venoms, they have become a powerful therapeutic weapon ever since the serum has been highly purified and the great decrease of related anaphylactic reactions. The aim of this article is to update the emergency room procedures when viper bites are suspected, and to clarify the main therapeutic recommendations.
