群蜂蜇伤致下肢动脉血栓形成1例报告及文献复习  

Lower Limb Artery Thrombosis Caused by Swarm Bee Stings:a Case Report and Literature Review

作　　者：魏延焕 董庆林[1] 范艳艳 Wei Yanhuan;Dong Qinglin;Fan Yanyan(Emergency Department of Rizhao People's Hospital,Rizhao 276800,Shandong Province,China)

机构地区：[1]日照市人民医院急诊科,山东日照276800

出　　处：《中外医药研究》2024年第4期32-34,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：马蜂蜇伤致急性肢体动脉血栓形成较罕见.笔者通过整理1例重度马蜂蜇伤并发双下肢动脉血栓形成患者的诊治经过并结合文献研究发现,肢体动脉栓塞事件常发生在蜇伤后数小时内,上肢动脉和下肢动脉均有可能发生,主要为肢体的急性缺血表现,如麻木、疼痛、青紫等,严重者可出现肢体组织坏死.蜂毒本身含有的组胺、血栓素、白三烯等血管活性物质和炎症介质,可导致血小板和凝血因子激活、血管内膜损伤、血管收缩等,从而继发动脉血栓形成的可能.Acute limb artery thrombosis caused by wasp stings is rare.By summarizing the diagnosis and treatment of a patient with severe limb artery thrombosis complicated by double lower limb artery thrombosis and combining with literature studies,the author found that limb artery embolization often occurs within a few hours after stings,and both upper limb artery and lower limb artery may occur,mainly due to acute limb ischemia.Such as numbness,pain,cyanosis,etc.,severe cases can appear limb tissue necrosis.Bee venom contains histamine,thrombin,leukotriene and other vasoactive substances and inflammatory mediators,which can lead to activation of platelets and coagulation factors,damage to the vascular intima,and vasoconstriction,thereby causing the possibility of secondary arterial thrombosis.

关 键 词：马蜂蜇伤 血栓形成 急性肢体缺血 

分 类 号：R646[医药卫生—外科学] R543.5[医药卫生—临床医学]