毒蛇咬伤引起急性心肌梗塞或心肌局部缺血已有少数报导,这种情况被归诸于严重的低血压引起动脉血栓或毒素直接作用于心肌所致。目前除强调蝮蛇咬伤后有弥漫性血管内凝血(DIC)外,中毒性脉管炎导致出血性并发症也是首要原因。眼镜蛇咬伤以神经系统损害为主,而蝮蛇咬伤1/3病人有神经系统表现。作者在本文中介绍1例女孩左脚(足母)趾被蝮蛇咬伤,不久出现胸骨后剧痛、恶心与虚脱,4小时 Serous snake bites cause acute myocardial infarction or myocardial ischemia has been reported in a small number of cases, this is due to severe hypotension caused by arterial thrombosis or toxin directly on the myocardium. At present, in addition to emphasizing viper bite diffuse intravascular coagulation (DIC), toxic vasculitis leading to hemorrhagic complications is also the primary reason. Cobra bites mainly damage the nervous system, while Viper bites 1/3 of patients with neurological manifestations. In this article, the author describes a girl left foot (foot) toe was bitten by viper, soon after the sternum pain, nausea and collapse, 4 hours