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蜂蜇伤中毒146例临床回顾分析

王兴华 徐慧玲 吴刚 王斌 但自力

医学新知杂志Issue(3):180-183,4.
医学新知杂志Issue(3):180-183,4.

蜂蜇伤中毒146例临床回顾分析

Retrospective Analysis of 146 Patients with Bee Sting Intoxication

王兴华 1徐慧玲 2吴刚 1王斌 3但自力4

作者信息

  • 1. 442200 湖北竹山,竹山县人民医院消化科
  • 2. 竹山县妇幼保健院
  • 3. 442000 湖北十堰,湖北医药学院附属十堰市人民医院消化科
  • 4. 430000 湖北武汉,华中科技大学附属同济医院消化科
  • 折叠

摘要

Abstract

Objective To analyze clinical features,treatment and prognosis of bee sting intoxication in order to provide references for preventing it and improving rescue rate. Methods 146 patients with bee sting intoxication in Zhushan People′s Hospital and Shiyan People′s Hospital from Jan. 1997 to Dec. 2013 were reviewed. Retrospective a-nalysis was performed with the following indicators:onset time,number of stings,clinical manifestations,auxiliary ex-amination,therapeutic regimens and prognosis. Results ①Bee sting intoxication occurred mainly in Sep. and Oct. , accounting for 56. 16% . ②Clinical manifestations were complex. Multiple organs could be impaired and it was prone to induce multiple organ dysfunction syndromes. The incidences of organ lesions from high to low were liver,heart and kidney. ③There was no significant difference in the incidence of allergy symptoms among bee group,wasp group and hornet group(P ﹥ 0. 05). The incidences of dizziness,headache,myocardial damage,liver dysfunction,renal insuffi-ciency and multiple organs impairment were higher in wasp group and hornet group than that in bee group( P ﹤0. 05). ④Mortality in hemodialysis group was significantly lower than that in non - hemodialysis group(P ﹤ 0. 05). Conclusion To succeed in salvaging bee sting intoxication,it is crucial to do the following:①early and effectively antiallergic and antishock treatment;②early hemodialysis treatment;③reinforce the protection of multiple organs.

关键词

蜂蜇伤/中毒/临床特征/治疗

Key words

Bee sting/Intoxication/Clinical feature/Treatment

分类

医药卫生

引用本文复制引用

王兴华,徐慧玲,吴刚,王斌,但自力..蜂蜇伤中毒146例临床回顾分析[J].医学新知杂志,2014,(3):180-183,4.

医学新知杂志

1004-5511

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