黄蜂蜇伤后非ST段抬高型心肌梗死
Non-ST-elevation myocardial infarction after a wasp sting.
作者信息
Gawlik Radoslaw, Pezold Marcin, Bożek Andrzej
机构信息
Department and Clinic of Internal Diseases, Allergy and Clinical Immunology, Silesian University, School of Medicine, Zabrze, Poland. Head of Department: Prof. Barbara Rogala MD, PhD.
Cardiology Clinic, Ustron, Poland. Head of Clinic: Marek Król MD, PhD.
出版信息
Postepy Dermatol Alergol. 2014 Aug;31(4):266-8. doi: 10.5114/pdia.2014.40977. Epub 2014 Sep 8.
We report a case of a 56-year-old woman with loss of conscious transferred to the cardiology unit where non-ST-elevation myocardial infarction was diagnosed. The patient reported a wasp sting a few minutes before the accident. The cardiac troponin level was high and confirmed damage of the heart muscle. Finally, echocardiography and myocardial perfusion scintigraphy revealed an ejection fraction of 50% with hypokinesia of posterior walls. Cardiac consequences of the insect venom sting are discussed in this article.
我们报告一例56岁意识丧失的女性患者，被转至心脏病科，诊断为非ST段抬高型心肌梗死。患者称事故发生前几分钟被黄蜂蜇伤。心肌肌钙蛋白水平升高，证实存在心肌损伤。最后，超声心动图和心肌灌注显像显示射血分数为50%，后壁运动减弱。本文讨论了昆虫毒液蜇伤的心脏后果。
Zotero 插件