蜂螫伤眼病例临床分析  

Clinical analysis of ocular injuries caused by bee sting

作　　者：徐海萍[1] 於水清[1] 张志勇[2] 

机构地区：[1]杭州市萧山区第一人民医院眼科,311201 [2]浙江医院眼科,杭州310012

出　　处：《中华眼外伤职业眼病杂志》2016年第3期196-198,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨蜂螫伤的临床表现、治疗方法以及致病机制。方法回顾性分析我院就诊的蜂螫伤2l例（25眼）的临床资料。结果患者的临床表现主要为组织水肿，角膜上皮缺损，虹膜睫状体炎，继发性青光眼，白内障，视神经炎。通过去除蜂螫刺，应用糖皮质激素、抗组胺药及神经营养药，大部分患者的视力基本恢复。蜂毒中的非酶多肽类毒素产生的直接毒性作用和酶类引起的超敏变态反应可能是致病的主要因素。结论蜂螫伤可以产生明显的眼组织损伤，去除蜂的螫刺以及应用糖皮质激素，抗组胺药，神经营养药是有效治疗方法。Objective To investigate the clinical feature, treatment and pathogenesis of ocular injuries caused by bee sting. Methods Retrospective study on the 25 eyes of 20 patients harmed by bee sting. Results The clinical feature of the patients suffered from bee sting included tissue edema, corneal epithelium defect, iridocyclitis, secondary glaucoma, cataract and optic neuritis. The vision was recovered after immediate removal of the stinger, and the application of corticosteroids, antihistamines and neurotrophic drugs. Nonenzymatic polypeptide toxins and enzymes in bee venom caused severe toxic effect and hypersensitivity reaction might be the main pathogenesis of ocular injuries caused by bee sting. Conclusion Bee stings can cause the injury of ocular tissues. Removal of the stinger, and application of steroids, antihistamines, and neurotrophic drugs are effective treatments for bee stings.

关 键 词：蜂螫伤眼 临床表现 治疗 致病机制 

分 类 号：R779.1[医药卫生—眼科]