Gigitan Ular Berbisa
Sari
Seorang anak laki-laki, usia 5 tahun 8 bulan dengan diagnosis gigitan ular dengan
compartement syndrome dan koagulasi intravaskular diseminata (KID) berdasarkan
identifikasi ular yang menggigit dan manifestasi klinis. Presentasi klinis terdiri dari tanda
bekas gigitan pada tungkai bawah kanan, rasa nyeri yang makin bertambah , bengkak,
ekimosis, bula, compartement syndrome, trombositopenia, anemia, PT, APTT yang
memanjang, dan d-dimer yang meningkat. Bila dilihat dari bentuk ular yang menggigit
dan manifestasi klinis yang timbul, yaitu bisa ular yang bersifat sitotoksik, ular yang
mengigit adalah famili Viperidae. Derajat berat kasus yang terjadi adalah derajat 4 (major),
karena terdapat tanda bekas gigitan, edem yang luas, serta KID.
Antibiotik diberikan juga kortikosteroid, bertujuan untuk mencegah efek samping
pemberian anti bisa ular. Fasciotomy dilakukan karena terdapat compartement syndrome
setelah itu pasien dirawat di ICU Anak untuk pemantauan lebih lanjut dan
mempersiapkan apabila diperlukan heparinisasi. Pasien dipulangkan dalam keadaan baik
setelah 3 minggu perawatan.
Kata Kunci
Teks Lengkap:
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DOI: http://dx.doi.org/10.14238/sp5.3.2003.92-8
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