Shah Noor, Martens Mark G
From the Rutgers Robert Wood Johnson Medical School, New Brunswick, and the Department of Obstetrics and Gynecology, Jersey Shore University Medical Center, Neptune, NJ.
South Med J. 2016 Jun;109(6):338-41. doi: 10.14423/SMJ.0000000000000470.
Scorpion envenomation affects more than 1 million people every year and represents an important public health problem worldwide. The effects of envenomation range from localized pain and paresthesias to overactivation of the sympathetic nervous system, leading to neurotoxicity and even death. Of the individuals affected by scorpion envenomation, certain populations, such as young children and older adults, are at high risk for severe disease. Substantial literature exists on the management of envenomation in children; however, scant literature exists that addresses the same phenomenon in pregnant women. This review serves to identify the effects of scorpion envenomation on pregnant women and the treatment options available to them. After thorough review of the treatment modalities that are used to treat scorpion envenomation, we developed a treatment algorithm that may help guide the management of pregnant women who present with scorpion envenomation.
每年有超过100万人受到蝎子蜇伤影响,这在全球范围内是一个重要的公共卫生问题。蜇伤的影响范围从局部疼痛和感觉异常到交感神经系统过度激活,导致神经毒性甚至死亡。在受蝎子蜇伤影响的人群中,某些群体,如幼儿和老年人,患重病的风险很高。关于儿童蜇伤处理已有大量文献;然而,针对孕妇中同样现象的文献却很少。本综述旨在确定蝎子蜇伤对孕妇的影响以及可供她们选择的治疗方案。在全面回顾用于治疗蝎子蜇伤的治疗方式后,我们制定了一种治疗算法,可能有助于指导对出现蝎子蜇伤的孕妇的处理。