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[麻醉阻滞在鬼头刀鱼蜇伤中的治疗应用]

[Therapeutic application of anesthetic blocks in weever-fish stings].

作者信息

Linares del Río F, Moniche García Pumarino M, Herruezo Pérez A

出版信息

Rev Esp Anestesiol Reanim. 1989 Jan-Feb;36(1):57-9.

PMID:2565592
Abstract

Five cases of weaver-fish sting (weaver Trachinus) are described. All patients presented severe pain and peripheral vascular disorders. In 4 cases the sting was in the upper limb and treated with brachial plexus axillary block. One patient had been stung in the foot and treated with epidural continuous block with catheter: In all cases bupivacaine 0.5% was employed and evolution was good 24-48 hours later. We conclude that anesthetic blocks should be included in the symptomatic treatment of those cases, that is: steroids, antihistaminics, calcium, analgesic agents, antibiotics, and antitetanic vaccine.

摘要

本文描述了5例鬼头刀蜇伤(鬼头刀属)的病例。所有患者均出现剧痛和周围血管功能障碍。4例蜇伤发生在上肢,采用臂丛神经腋路阻滞治疗。1例患者足部被蜇伤,采用硬膜外导管持续阻滞治疗:所有病例均使用0.5%布比卡因,24 - 48小时后病情好转。我们得出结论,麻醉阻滞应纳入这些病例的对症治疗中,即:类固醇、抗组胺药、钙剂、镇痛药、抗生素和破伤风抗毒素疫苗。

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1
[Therapeutic application of anesthetic blocks in weever-fish stings].[麻醉阻滞在鬼头刀鱼蜇伤中的治疗应用]
Rev Esp Anestesiol Reanim. 1989 Jan-Feb;36(1):57-9.
2
[Chronic pain and impairment of function after a sting by the great weaver fish (Trachinus draco)].[被纹腹叉鼻鲀(Trachinus draco)蜇伤后的慢性疼痛与功能障碍]
Ned Tijdschr Geneeskd. 2001 May 5;145(18):881-4.
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Weever fish sting: an unusual problem.龙䲢鱼蜇伤:一个不寻常的问题。
Br Med J (Clin Res Ed). 1983 Aug 6;287(6389):406-7. doi: 10.1136/bmj.287.6389.406.
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Treating envenomation caused by fish sting.治疗鱼蜇伤所致的中毒。
Emerg Nurse. 2012 Jun;20(3):28-9. doi: 10.7748/en2012.06.20.3.28.c9153.
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Weever fish sting.毒鲉蜇伤
Br Med J (Clin Res Ed). 1983 Aug 20;287(6391):559.
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Case report: Weever fish sting--an unusual cause of foot pain.病例报告:龙䲢鱼蜇伤——足部疼痛的罕见原因。
Ir J Med Sci. 1996 Jul-Sep;165(3):153-4. doi: 10.1007/BF02940238.
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Venomous fish stings in tropical northern Australia.澳大利亚北部热带地区的有毒鱼类蜇伤
Am J Emerg Med. 2001 Nov;19(7):561-5. doi: 10.1053/ajem.2001.28325.
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Midazolam with bupivacaine for improving analgesia quality in brachial plexus block for upper limb surgeries.咪达唑仑联合布比卡因用于改善上肢手术臂丛神经阻滞的镇痛质量。
J Coll Physicians Surg Pak. 2008 Nov;18(11):674-8.
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[Sciatic nerve block in the popliteal fossa to treat pain after a weeverfish sting].[腘窝坐骨神经阻滞治疗虎头鱼蜇伤后疼痛]
Rev Esp Anestesiol Reanim. 2004 Jun-Jul;51(6):353.
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[Partial finger amputation after weever sting and second-degree burn].[虎头鱼刺伤后手指部分截肢及二度烧伤]
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引用本文的文献

1
[Persistent skin reaction and Raynaud phenomenon after a sting by Echiichthys draco (great weever fish)].[被毒鲉(毒鲉科鱼类)蜇伤后持续的皮肤反应和雷诺现象]
Hautarzt. 2003 Jul;54(7):633-7. doi: 10.1007/s00105-002-0463-4. Epub 2003 Feb 28.