González-Romero S, González-Hermosillo J A, González A, Flores M E, Mijangos Vargas G
Unidad Coronaria, Hospital General de Durango, S.S.A.
Arch Inst Cardiol Mex. 1991 Jan-Feb;61(1):15-20.
Scorpion sting is a hazardous and potentially lethal condition. Venom of some variety of scorpion can cause dramatic cardiovascular and electrocardiographic changes, that have been related to heart stimulation by autonomous nervous system. We prospectively studied 722 patients following scorpion sting. Mean age for the group was 25.5 +/- 18.3 years. 67% were less than 30 years of age. In 294 patients (40.7%) we found electrocardiographic changes. These cases were followed until those changes disappeared. First degree atrioventricular block was found in 10.2%. Intraventricular conduction disturbances in 12.8% with predominance of right bundle branch block. In 11% we found arrhythmias. In 15% reversible ventricular repolarization changes. Of this no one died. This lack of mortality could be attributed to a prompt therapeutic intervention.
蝎子蜇伤是一种危险且可能致命的情况。某些种类蝎子的毒液可引起显著的心血管和心电图变化，这些变化与自主神经系统对心脏的刺激有关。我们对722例蝎子蜇伤患者进行了前瞻性研究。该组患者的平均年龄为25.5±18.3岁。67%的患者年龄小于30岁。在294例患者（40.7%）中，我们发现了心电图变化。对这些病例进行随访直至这些变化消失。发现一度房室传导阻滞的占10.2%。室内传导障碍占12.8%，以右束支传导阻滞为主。11%的患者出现心律失常。15%的患者有可逆性心室复极改变。其中无一例死亡。这种无死亡情况可归因于及时的治疗干预。
