Martin J C, Audley I
Cairns Base Hospital, QLD.
Med J Aust. 1990 Aug 6;153(3):164-6. doi: 10.5694/j.1326-5377.1990.tb136838.x.
This paper presents a case of Irukandji syndrome (envenomation by the jellyfish, Carukia barnesi) with pulmonary oedema and hypokinetic cardiac failure. This case highlights the need for victims (and operators of tours venturing into the waters of North Queensland) to treat even apparently innocuous stings with vinegar and to avoid freshwater bathing and rubbing of stings immediately after such incidents. It also reinforces the use of phentolamine to treat the symptoms of catecholamine release associated with the syndrome. This patient required inotropic support and further underlines the need for practitioners to be aware that the syndrome can have severe sequelae and that central venous monitoring and inotropic management should be available when treating Irukandji stings.
本文介绍了一例伴有肺水肿和低动力性心力衰竭的伊鲁坎吉综合征（被箱形水母，即卡里水母蜇伤）病例。该病例凸显了受害者（以及冒险进入北昆士兰水域的旅游从业者）即使被看似无害的蜇伤，也需用醋处理，并在此类事件发生后立即避免淡水冲洗和揉搓蜇伤处。它还强调了使用酚妥拉明治疗与该综合征相关的儿茶酚胺释放症状。该患者需要使用正性肌力药物支持，这进一步凸显了从业者需要意识到该综合征可能会有严重后遗症，并且在治疗伊鲁坎吉蜇伤时应具备中心静脉监测和正性肌力药物管理措施。
