群蜂蜇伤三例  

Treatment report of three cases of multiple wasp stings

作　　者：吴政慧 孙爱芳 薛继可[1] 支绍册[1] 张海燕[1] 赵光举[1] 卢中秋[1] Wu Zhenghui;Sun Aifang;Xue Jike;Zhi Shaoce;Zhang Haiyan;Zhao Guangju;Lu Zhongqiu(Department of Emergency,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院急诊医学中心,325000

出　　处：《中华劳动卫生职业病杂志》2021年第4期310-312,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：2019年9月至11月,至医院先后就诊收治3例被马蜂群蜇伤的患者,入院时均表现为急性过敏性休克,并伴有不同程度器官功能损伤。经过血液灌流合并连续型血液透析治疗,以及激素冲击等内科综合治疗,最终1例患者救治成功,2例不愈出院。群蜂蜇伤可引起全身性过敏反应及毒性反应,严重者可出现急性过敏性休克、横纹肌溶解、血管内溶血、凝血功能异常、急性肝肾功能损伤、以及心肌损害等多器官功能受损甚至衰竭,是临床上的急危重症,死亡率较高。群蜂蜇伤应尽早就医,早期防治多脏器功能不全,选择准确的血液净化及综合治疗,可有效改善预后,增加救治成功率。From September to November 2019,three patients with Hornet stings were admitted to hospital with acute anaphylaxis and various degrees of organ dysfunction.After hemoperfusion combined with continuous hemodialysis and hormone pulse therapy,1 patient was successfully treated and 2 patients were not cured.Bee Stings can cause systemic allergic reactions and toxic reactions.In severe cases,acute anaphylaxis,rhabdomyolysis,intravascular hemolysis,abnormal coagulation,and acute liver and kidney injury may occur,myocardial damage and other multi-organ function damage or even failure,is a clinical acute and critical illness,mortality is higher.Through the analysis of the diagnosis and treatment process of these 3 cases,the experience is summarized:the Bee sting should be treated as soon as possible,the early prevention and treatment of multiple organ dysfunction,the choice of accurate blood purification and comprehensive treatment,can effectively improve the prognosis,increase the success rate of treatment.

关 键 词：蜂 血液灌流多器官功能衰竭 诊疗 

分 类 号：R646[医药卫生—外科学]