Agrawal Avinash, Kumar Anand, Consul Shuchi, Yadav Ambuj
Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Obstetrics and Gynaecology, Mayo Institute of Medical Sciences, Barabanki, Uttar Pradesh, India.
Indian J Crit Care Med. 2015 Apr;19(4):233-6. doi: 10.4103/0972-5229.154570.
Scorpion bites are common in India. Usually, these bites are harmless but sometimes have serious clinical sequelae, including death. We report herein a case of scorpion bite with electrocardiographic abnormalities simulating early myocardial infarction. Pulmonary edema and congestive heart failure accompanied these electrocardiographic changes as well as serum cardiac markers. The etiology of cardiovascular manifestations in severe scorpion sting is related to venom effect on sympathetic nervous system and the adrenal secretion of catecholamines as well as to the toxic effect of the venom on the myocardium itself. It is a rare case of scorpion sting presented as myocardial infarction and heart failure, successfully treated with Intensive Care Unit care, noninvasive ventilation, vasopressors, and antiischemic treatment.
蝎子蜇伤在印度很常见。通常，这些蜇伤无害，但有时会产生严重的临床后果，包括死亡。我们在此报告一例蝎子蜇伤病例，其心电图异常模拟早期心肌梗死。肺水肿和充血性心力衰竭伴随这些心电图变化以及血清心肌标志物出现。严重蝎子蜇伤中心血管表现的病因与毒液对交感神经系统的作用、肾上腺儿茶酚胺分泌以及毒液对心肌本身的毒性作用有关。这是一例罕见的以心肌梗死和心力衰竭表现的蝎子蜇伤病例，通过重症监护、无创通气、血管升压药和抗缺血治疗成功治愈。
