Bhadani Umesh Kumar, Tripathi Mukesh, Sharma Sanjib, Pandey Rajesh
Department of Anesthesiology and Critical Care, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Indian J Med Sci. 2006 Jan;60(1):19-23.
Scorpion sting is a common problem in villages of Eastern Nepal. The life-threatening complications of myocarditis and pulmonary edema is known in red scorpion in India but not reported in Nepal. This condition requires urgent attention and ICU care from few hours to days. Delay in recognition and the hypoxemia increase the morbidity and mortality. Illiteracy, ignorance, poverty, traditional faith healers trying treatment in remote areas, lack of transport in difficult terrains and the non availability of ventilation facility in nearby hospital, add to delay in appropriate treatment. Seven young adult patients admitted in a span of two years with history of scorpion sting presenting with pulmonary edema required ICU care. They were successfully managed with the positive pressure ventilation with PEEP, cardiac support with inotropes and fluid balance. Magnitude of problem, clinical presentation and management done is emphasized.
蝎子蜇伤在尼泊尔东部的村庄是一个常见问题。在印度，红蝎子蜇伤会导致危及生命的心肌炎和肺水肿并发症，但在尼泊尔尚未有相关报道。这种情况需要在数小时至数天内得到紧急关注并入住重症监护病房（ICU）。识别延迟和低氧血症会增加发病率和死亡率。文盲、无知、贫困、偏远地区传统信仰治疗师尝试治疗、困难地形缺乏交通以及附近医院没有通气设施，都导致了适当治疗的延迟。两年内收治了7名有蝎子蜇伤史且出现肺水肿的年轻成年患者，他们需要入住ICU治疗。通过使用呼气末正压通气（PEEP）进行正压通气、使用血管活性药物进行心脏支持以及维持液体平衡，他们得到了成功救治。文中强调了该问题的严重程度、临床表现及治疗措施。
