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[对黄蜂毒液过敏患者的致命黄蜂蜇伤反应]

[Fatal reaction to wasp sting in a patient allergic to wasp venom].

作者信息

Mark Cecilie Kjærholm, Grøfte Thorbjørn, Shim Jeong

机构信息

Anæstesiologisk og Intensiv Afdeling, Regionshospitalet Randers, 8900 Randers.

出版信息

Ugeskr Laeger. 2015 Apr 20;177(17).

PMID:25922165
Abstract

A 68-year-old man suffered from anaphylaxis and cardiac arrest following wasp sting. He was resuscitated and taken to hospital where he later died from anoxic brain injury. Previously he had had an anaphylactic reaction to wasp venom but did not carry his auto-adrenaline-injector. Patients with anaphylaxis due to insect venom must be referred to allergological investigations. Furthermore, they should be educated in recognition and handling of anaphylaxis and they should be provided with a management plan and an auto-adrenaline-injector along with a thorough instruction on the appropriate use.

摘要

一名68岁男性黄蜂蜇伤后发生过敏反应和心脏骤停。他被复苏并送往医院,后来死于缺氧性脑损伤。他之前曾对黄蜂毒液有过过敏反应,但未携带自动肾上腺素注射器。因昆虫毒液导致过敏反应的患者必须转诊进行过敏学检查。此外,应就过敏反应的识别和处理对他们进行教育,并为他们提供一份管理计划、一支自动肾上腺素注射器以及关于正确使用的详细指导。

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