654-2抢救蜂毒致过敏性休克伴室性心动过速1例

• 作 者: 蔡明文
• 机 构: 四川省都江堰市水电十局医院,
• 出 处: 中国水电医学
• 发表日期: 2002年03期
• 关键词: 过敏性休克 肌损害 室性心律失常 黄蜂蜇伤 急性病容 心肺疾病 呼吸急促 全身皮疹 面色苍白 黄色斑

被黄蜂蜇伤后,蜂毒导致严重的过敏性休克,心肌损害,出现严重的室性心律失常,在临床极少见,我院遇见1例,现报道如下。患者女,36岁,因黄蜂蜇伤致全身皮疹、四肢湿冷0.5小时于1999年9月5日下午5时30分急诊入院,既往无心肺疾病。体检:T36℃,R29次/分,P76次/分,BP 10/5kPa,急性病容,呼吸急促,面色苍白,四肢湿冷,全身皮肤黄色斑片状皮丘,高出皮面。心肺(-)。

Bee was sting, the bee venom causes severe anaphylactic shock, myocardial damage, severe ventricular arrhythmia, rarely seen in clinical, our hospital met 1 case, are reported below. Patient female, 36 years old, had a systemic rash due to wasp stings and had cold and limbs for 0.5 hours. She was admitted to the hospital on September 5, 1999 at 5.30 p.m. and had no previous heart and lung disease. Physical examination: T36 ℃, R29 beats / min, P76 beats / min, BP 10 / 5kPa, acute illness, shortness of breath, pale, limbs cold and cold, yellow skin patches of skin, above the skin. Cardiopulmonary (-).