Bawaskar H S, Bawaskar P H
J Trop Med Hyg. 1991 Aug;94(4):231-3.
Three pairs of scorpion sting victims ((1) daughter and mother, (2) brother and sister and (3) brother and sister) were admitted. In each pair, both were stung by the same scorpion. A patients from each pair were the first stung (initial sting), B patients the second. All A victims of the three pairs had cardiovascular manifestations: hypertension, with pulmonary oedema; hypotension-bradycardia, pulmonary oedema; and hypertension respectively. B victims from the three pairs suffered no systemic or cardiovascular involvement, only severe excruciating local pain at the sting site. It is concluded that A victims received a large dose of venom, injected by the scorpion virtually evacuating the telson resulting in an 'autonomic storm' and severe cardiovascular involvement.
收治了三对蝎子蜇伤患者（(1) 女儿和母亲、(2) 哥哥和妹妹以及(3) 哥哥和妹妹）。每对中的两人均被同一只蝎子蜇伤。每对中的A患者为首次被蜇伤（初始蜇伤），B患者为第二次被蜇伤。三对中的所有A受害者均有心血管表现：分别为高血压伴肺水肿、低血压 - 心动过缓伴肺水肿以及高血压。三对中的B受害者没有全身或心血管受累情况，仅蜇伤部位有严重的剧痛。结论是，A受害者接受了大量毒液，蝎子几乎排空了尾刺注入毒液，导致“自主神经风暴”和严重的心血管受累。
