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[非洲化蜜蜂蜇伤所致急性肾衰竭]

[Acute kidney failure due to stings by Africanized bees].

作者信息

Muñoz-Arizpe R, Velásquez-Jones L, Romero-Navarro B, Gómez-Chico R

机构信息

Departamento de Nefrología, Hospital Infantil de México Federico Gómez, D.F., México.

出版信息

Bol Med Hosp Infant Mex. 1992 Jun;49(6):388-90.

PMID:1632913
Abstract

Africanized bees are unique in their aggressive behavior, characterized by massive attacks during which the victims are injected an important amount of venom. For this reason, Africanized bees are extremely dangerous. Their venom contains biological toxic substances, mainly mellitin, phospholipases, histamine, hyaluronidase and apamin. Non-sensitized persons that survive a massive attack may develop acute renal failure, as a consequence of the severe hemolysis, rhabdomyolysis and shock. These complications may lead to acute renal tubular necrosis. Also, the clinical pattern and treatment of the acute renal failure secondary to bee stings are discussed.

摘要

非洲化蜜蜂的攻击行为独特,其特点是大规模攻击,在此期间会向受害者注入大量毒液。因此,非洲化蜜蜂极其危险。它们的毒液含有生物毒性物质,主要是蜂毒肽、磷脂酶、组胺、透明质酸酶和蜂毒明肽。在大规模攻击中幸存的非敏感人群可能会因严重溶血、横纹肌溶解和休克而发展为急性肾衰竭。这些并发症可能导致急性肾小管坏死。此外,还讨论了蜂蜇伤继发急性肾衰竭的临床模式和治疗方法。

相似文献

1
[Acute kidney failure due to stings by Africanized bees].[非洲化蜜蜂蜇伤所致急性肾衰竭]
Bol Med Hosp Infant Mex. 1992 Jun;49(6):388-90.
2
Acute renal failure following massive attack by Africanized bee stings.非洲化蜜蜂大量蜇伤后导致的急性肾衰竭。
Pediatr Nephrol. 2002 Aug;17(8):625-7. doi: 10.1007/s00467-002-0888-0. Epub 2002 May 25.
3
Mass envenomations by honey bees and wasps.蜜蜂和黄蜂引起的群体性蜂蜇伤
West J Med. 1999 Apr;170(4):223-7.
4
Acute renal failure due to multiple bee stings--case reports.多例蜂蜇伤致急性肾衰竭——病例报告
Med J Malaysia. 1990 Dec;45(4):344-6.
5
Acute renal failure and dermal necrosis due to bee stings: report of a case in a child.
Cent Afr J Med. 1990 Aug;36(8):202-4.
6
Historical perspective and human consequences of Africanized bee stings in the Americas.美洲非洲化蜜蜂螫伤的历史透视和人类后果。
J Toxicol Environ Health B Crit Rev. 2012;15(2):97-108. doi: 10.1080/10937404.2012.645141.
7
Massive honey bee envenomation-induced rhabdomyolysis in an adolescent.一名青少年因大量蜜蜂蜇伤导致横纹肌溶解症。
Pediatrics. 2006 Jan;117(1):231-5. doi: 10.1542/peds.2005-1075.
8
[Severe complications caused by multiple bee stings].
Med Clin (Barc). 1984 Jun 9;83(2):88.
9
Significance of Africanized bees for public health. A review.非洲化蜜蜂对公共卫生的意义。综述
Arch Intern Med. 1995 Oct 23;155(19):2038-43.
10
[Acute renal insufficiency caused by bee venom poisoning in multiple stings].
Vrach Delo. 1974 Jan(1):116-7.

引用本文的文献

1
Fatal outcome following multiple bee stings: A rare case.多次蜜蜂蜇伤后的致命后果:一例罕见病例。
Clin Case Rep. 2022 Jan 25;10(1):e05303. doi: 10.1002/ccr3.5303. eCollection 2022 Jan.
2
Acute kidney injury complicating bee stings - a review.蜂蜇伤并发急性肾损伤——综述
Rev Inst Med Trop Sao Paulo. 2017 Jun 1;59:e25. doi: 10.1590/S1678-9946201759025.