The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A Case of Gastrointestinal Bleeding after a Snake Bite

독사교상으로 인한 위장관 출혈 1예

  • Lee, Joung-Hwa (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Han, Koon-Hee (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Kyoung-Won (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Young-Don (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jeong, Woo-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kang, Gil-Hyun (Department of Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Cheon, Gab-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 이정화 (울산대학교 의과대학 강릉아산병원 내과) ;
  • 한군희 (울산대학교 의과대학 강릉아산병원 내과) ;
  • 이경원 (울산대학교 의과대학 강릉아산병원 내과) ;
  • 김영돈 (울산대학교 의과대학 강릉아산병원 내과) ;
  • 정우진 (울산대학교 의과대학 강릉아산병원 내과) ;
  • 강길현 (울산대학교 의과대학 강릉아산병원 진단병리과) ;
  • 천갑진 (울산대학교 의과대학 강릉아산병원 내과)
  • Published : 2011.04.01
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Abstract

The clinical presentation of snake bites varies greatly. Symptoms range from only bite marks to muscle spasms, paralysis, altered mental status, and muscle weakness. In severe cases, symptoms may include life threatening coagulopathy or gastrointestinal bleeding owing to increased vascular permeability. In this report, the patient presented with massive gastrointestinal bleeding after a snake bite and recovered with conservative treatment.

독사교상에 의한 임상 증상의 발현 양상은 매우 다양한 것으로 알려져 있다. 환자들은 특이한 임상증상 없이 교상자국 만을 남기는 것에서부터 근육 연축, 마비, 의식저하, 근력저하와 같은 신경증상이 일어날 수 있으며, 심한 경우에는 혈액응고장애, 혈관투과성의 증가로 인한 위장관 출혈로 생명을 위협하는 증상을 보일 수 있다. 저자들은 독사교상 이후 발생한 혈관응고장애에 의한 다량의 위장관 출혈을 일으킨 환자를 수혈을 포함한 보존적 치료로 호전시킨 증례를 경험하였기에 이를 문헌고찰과 함께 보고한다.

Keywords

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