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[黄蜂蜇伤致过敏性休克引发的神经症状和视觉障碍。病例报告]

[Neurological symptoms and visual disturbance triggered by anaphylactic shock the sting of a hornet. Case report].

作者信息

Puchalska-Niedbał Lidia

机构信息

Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej w Szczecinie al. Powstańiców Wlkp. 72, 70-111 Szczecin.

出版信息

Ann Acad Med Stetin. 2007;53 Suppl 1:90-3; discussion 93.

Abstract

INTRODUCTION

Neurological symptoms after the insect stings are comparatively seldom described. They may have the character of the inflammation of the peripherial nerves, convulsive seizures or take the form of the depression or the psychoorganic syndrome. The aim of this work is to present a case of a child with serious neurological and ophthalmological complications after the sting of a hornet.

CASE REPORT

The girl with untypical course of reactions after the sting of a hornet is presented in this article. Neurological symptoms, which were growing in first days after the sting, dominated, providing picture of a serious psychomotor deterioration in 14-year-old girl. Several months later after the sting, problems with sight during close-up work and the headaches, which caused accommodation disturbances and lack of convergence, remained. It is believed that the cause of the problems might be the toxins of insect venom, which had negative effect on centres responsible for accommodation and convergence of eyes.

RESULTS

The treatment and rehabilitation, despite the serious complications after the sting of a hornet, allowed slowly recovery of physiological processes and let her get back to her normal activity. Her sight also improved. The headaches during close-up work subsided and her her accommodation and convergence of eyes improved. The girl came back to the normal life after two-year dramatic struggle with serious complications after the sting of a hornet, and she undertook the learning in normal school.

摘要

引言

昆虫蜇伤后出现神经症状的情况相对较少被描述。这些症状可能表现为周围神经炎症、惊厥发作,或者呈现为抑郁或精神器质性综合征的形式。本文的目的是介绍一例黄蜂蜇伤后出现严重神经和眼科并发症的儿童病例。

病例报告

本文介绍了一名黄蜂蜇伤后反应过程不典型的女孩。蜇伤后的头几天,神经症状逐渐加重,在这名14岁女孩身上表现为严重的精神运动功能衰退。蜇伤数月后,她在近距离工作时出现视力问题以及头痛,这些问题导致了调节障碍和集合功能缺失。据信,这些问题的原因可能是昆虫毒液的毒素对负责眼睛调节和集合的中枢产生了负面影响。

结果

尽管黄蜂蜇伤后出现了严重并发症,但经过治疗和康复,生理过程得以缓慢恢复,她也恢复了正常活动。她的视力也有所改善。近距离工作时的头痛症状减轻,眼睛的调节和集合功能也得到了改善。在与黄蜂蜇伤后的严重并发症进行了两年的艰苦斗争后,这个女孩恢复了正常生活,并开始在正规学校学习。

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