Kristal C, Shemesh I Y, Mishal Y, Bourvin A
Dept. of Anesthesia, Barzilai Medical Center, Ashkelon.
Harefuah. 1998 Mar 15;134(6):452-4, 502.
3 men, aged 18, 29, and 47 had severe cardiovascular disturbances following the sting of the yellow scorpion (Leiurus quinquestriatus hebraeus), which is considered the most dangerous scorpion in Israel. Cardiovascular complications are common in children after scorpion sting, but are rare in adults. Pulmonary edema developed in 1 of those being reported and hypertension and arrhythmias in the other 2. Severe deterioration in left ventricle function was confirmed by echocardiographic measurement of diminished ejection fraction. All patients recovered completely. This is the first report of severe cardiac involvement in adults following scorpion sting. We therefore recommend that even adults who develop cardiac symptoms after scorpion sting, particularly those with chronic cardiac disease, be monitored and treated in an intensive care unit.
3名年龄分别为18岁、29岁和47岁的男性在被黄蝎子（以色列金蝎）蜇伤后出现了严重的心血管紊乱，这种蝎子被认为是以色列最危险的蝎子。蝎子蜇伤后心血管并发症在儿童中很常见，但在成人中很少见。报告中的1例出现了肺水肿，另外2例出现了高血压和心律失常。通过超声心动图测量射血分数降低，证实左心室功能严重恶化。所有患者均完全康复。这是关于蝎子蜇伤后成人严重心脏受累的首例报告。因此，我们建议，即使是蝎子蜇伤后出现心脏症状的成人，尤其是患有慢性心脏病的患者，也应在重症监护病房进行监测和治疗。
