| 摘要: |
| ［摘要］ 目的 总结乡镇医院蜂螫伤救治经验。方法 对82例蜂螫伤患者的临床资料进行回顾性分析。结果 蜜蜂螫伤29例，黄蜂和胡蜂螫伤53例。出现风团皮疹80例，占97.6%；过敏性休克7例，占8.5%。经排毒、解毒、脱敏抗休克对症处理等综合治疗，救治成功率达98.8%（81/82）。1例死于休克并发肝肾肺功能衰竭，病死率为1.2%。结论 蜂螫伤是临床重症，乡镇医院医生应不断提高蜂螫伤救治知识和技能，最大限度地提高蜂螫伤救治的成功率。 |
| 关键词: 蜂螫伤 蜂毒素 救治 |
| DOI：10.3969/j.issn.1674-3806.2014.03.22 |
| 分类号:R 595.8；S 896.5 |
| 基金项目: |
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| Diagnosis and treatment of bee stings in township hospital：clinical analysis of 82 cases |
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CHEN Xi-wei
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Guitai Township Hospital, Qinbei District, Qinzhou 535029,China
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| Abstract: |
| ［Abstract］ Objective To summarize the treatment experience of bee stings in township hospital.Methods The clinical data of 82 cases of bee stings were retrospectively analyzed.Results The home bees stings were found in 29 cases, wasps stings in 53 cases.Skin wheal was found in 80 cases(97.6%), anaphylactic shock in 7 cases(8.5%).After symptomatic treatment such as elimination of toxicant, detoxification, antishock,desensitization and so on, the cure rate was 98.8%(81/82), 1 case died of shock and liver,kidney and lung function failure, the mortality rate was 1.2%.Conclusion Bee stings is clinical severe case, the doctors of township hospital should constantly improve the knowledge and skills of bee stings treatment, in order to maximize the treatment success rate of bee stings. |
| Key words: Bee stings Melittin Treatment |
