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蜂蜇伤的一种不常见表现:蛛网膜下腔出血。

An unusual presentation of bee sting: subarachnoid hemorrhagia.

机构信息

Duzce University Medical Faculty, Department of Neurology, Duzce, Turkey.

出版信息

Am J Emerg Med. 2012 Oct;30(8):1663.e5-6. doi: 10.1016/j.ajem.2011.09.012. Epub 2011 Nov 17.

Abstract

A person consists of a variety of immune reactions as a result of bee stings, depending on his/her immunologic structure. A 49-year-old male patient was brought to the emergency department because of generalized tonic clonic seizure and loss of consciousness after an hour of wild bee bite from the anterior abdomen in a rural area. After cardiopulmonary resuscitation, he was admitted to intensive care unit. Although cranial computed tomography taken in the emergency department was normal, control cranial computed tomography at the 36th hour after admission was consisted with subarachnoid hemorrhagia (SAH). The patient was diagnosed as SAH due to exposure to bee stings. The patient was treated for a month in an intensive care unit and discharged in a vegetative state. We present and discuss the case that had epileptic seizures and SAH after a bee bite, with the review of the literature.

摘要

一个人由于蜜蜂叮咬而产生的各种免疫反应,取决于他/她的免疫结构。一名 49 岁男性患者因在农村地区被野蜂从前腹部叮咬后 1 小时出现全身强直阵挛性发作和意识丧失而被送往急诊部。心肺复苏后,他被收入重症监护病房。尽管急诊部的头颅计算机断层扫描正常,但入院后 36 小时的控制性头颅计算机断层扫描显示伴有蛛网膜下腔出血(SAH)。患者被诊断为因接触蜜蜂叮咬而导致的 SAH。该患者在重症监护病房治疗了一个月,出院时呈植物人状态。我们提出并讨论了一例被蜜蜂叮咬后出现癫痫发作和 SAH 的病例,并复习了文献。

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