Feltracco Paolo, Barbieri Stefania, Galligioni Helmut, Pasin Laura, Gaudio Rosa Maria, Tommasi Aurelio, Zucchetto Alessandro, Trevisiol Paride, Ori Carlo, Avato Francesco Maria
Department of Pharmacology and Anesthesiology, University Hospital of Padova, Padova, Italy.
J Forensic Sci. 2012 Nov;57(6):1656-8. doi: 10.1111/j.1556-4029.2012.02187.x. Epub 2012 May 4.
The growth in popularity of flying ultralight aircraft and paragliding has been associated with an increased involvement of Emergency Medical Services because of various types of trauma suffered from both inexperienced and skilled individuals. This case presentation reports on a paraglider pilot, who was seen spinning "unusually" rapidly toward the ground, without visible attempts to regain control of the aircraft. Besides the bilateral mydriasis and the absence of any ECG activity, there was a significant swelling of face, lips, neck, and tongue. Upon opening the mouth, a dead bee was found over the tongue, underneath the palate. A fatal anaphylactic shock was the likely cause of death of the pilot while still "in mid-air." This case is certainly different from the commonly reported accidents during paragliding. An updated review of the medical literature shows no reported cases of fatal anaphylactic shock during the practice of paragliding.
超轻型飞机飞行和滑翔伞运动越来越受欢迎，由于新手和熟练者都会遭遇各种创伤，紧急医疗服务的介入也随之增加。本病例报告讲述了一名滑翔伞飞行员，有人看到他以“异常”快的速度旋转着坠向地面，没有明显试图控制飞机的动作。除了双侧瞳孔散大且心电图无任何活动外，面部、嘴唇、颈部和舌头有明显肿胀。张嘴检查时，发现一只死蜜蜂在舌头上方、上颚下方。飞行员很可能是在“空中”时死于致命性过敏反应。这个案例与滑翔伞运动中常见的事故截然不同。对医学文献的最新综述显示，没有关于滑翔伞运动中致命性过敏反应的报告病例。
