Treatment report of three cases of multiple wasp stings
10.3760/cma.j.cn121094-20200221-00069
- VernacularTitle:群蜂蜇伤三例
- Author:
Zhenghui WU
1
;
Aifang SUN
;
Jike XUE
;
Shaoce ZHI
;
Haiyan ZHANG
;
Guangju ZHAO
;
Zhongqiu LU
Author Information
1. 325000 温州医科大学附属第一医院急诊医学中心
- Keywords:
Bers;
Hemoperfasion;
Multiple organ failure;
Diagnosis and treatment
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2021;39(4):310-312
- CountryChina
- Language:Chinese
-
Abstract:
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.