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[耳鼻喉科临床实践中黄蜂蜇伤发病率的上升]

[Increasing incidence of wasp stings in otorhinolaryngological practice].

作者信息

Caffier P P, Schrom T, Haupt H, Mazurek B

机构信息

HNO-Klinik und Poliklinik Charité - Universitätsmedizin Berlin, Campus Charité Mitte, Schumannstrasse 20/21, 10117 Berlin.

出版信息

HNO. 2006 Jun;54(6):451-6. doi: 10.1007/s00106-006-1414-7.

Abstract

BACKGROUND

Wasp sting injuries can be lethal due to generalized reactions and edematous obstruction of the upper respiratory system. Due to media reports and our own observations, the consequences of the 2004 "plague of wasps" should be examined for the ear, nose, and throat (ENT) region.

PATIENTS AND METHODS

Wasp sting injuries treated during the years 2002 to 2004 were evaluated in a retrospective study with respect to frequency, localization, therapy, occurrence of allergic reactions, and other complications.

RESULTS

In 2002 to 2004, the number of patients with wasp sting injuries tripled. The occurrence of stings in the ENT region increased from 20% to more than 40%, with a strong rise in enoral and endolaryngeal stings after accidental swallowing or inhalation of wasps. The medical treatments employed proved the existence of sufficient therapeutic strategies.

CONCLUSIONS

The treatments demonstrate a clear increase in wasp sting injuries in the year 2004. The main climatic cause was the European record summer of 2003, in which wasps multiplied.

摘要

背景

黄蜂蜇伤可因全身反应和上呼吸道水肿阻塞而致命。鉴于媒体报道以及我们自己的观察,应检查2004年“黄蜂之灾”对耳鼻喉(ENT)区域造成的后果。

患者与方法

在一项回顾性研究中,对2002年至2004年期间治疗的黄蜂蜇伤病例进行了评估,内容包括发生频率、蜇伤部位、治疗方法、过敏反应的发生情况以及其他并发症。

结果

2002年至2004年期间,黄蜂蜇伤患者数量增至三倍。耳鼻喉区域蜇伤的发生率从20%增至40%以上,因意外吞咽或吸入黄蜂导致口腔内和喉内蜇伤的情况大幅增加。所采用的医疗治疗方法证明存在充分的治疗策略。

结论

这些治疗表明2004年黄蜂蜇伤病例明显增加。主要气候原因是2003年欧洲创纪录的夏季,黄蜂大量繁殖。

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