Mong Jeremy Shaowei, Ooi Chee Kheong
Emergency Department, Tan Tock Seng Hospital, Singapore.
J Emerg Med. 2017 Apr;52(4):e115-e116. doi: 10.1016/j.jemermed.2016.11.032. Epub 2016 Dec 18.
Insect venom anaphylaxis is a potentially life-threatening disorder. Transient coagulopathy in insect venom anaphylaxis is a rare phenomenon.
A 41-year-old man presented to the Emergency Department (ED) with hypotension after a run in a park. History and examination revealed signs of anaphylactic shock. A deranged coagulation profile with a normal platelet count led to the diagnosis of wasp sting anaphylaxis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Transient deranged coagulation profile with a normal platelet count may arise from insect venom anaphylaxis. This specific finding may aid the emergency physician in making a diagnosis of anaphylactic shock in an otherwise healthy patient presenting with shock with no apparent cause.
昆虫毒液过敏反应是一种潜在的危及生命的疾病。昆虫毒液过敏反应中的短暂性凝血病是一种罕见现象。
一名41岁男性在公园跑步后因低血压被送往急诊科。病史和检查显示有过敏性休克的迹象。凝血指标紊乱但血小板计数正常，导致诊断为黄蜂蜇伤过敏反应。为什么急诊医生应该了解这一点？：血小板计数正常但凝血指标短暂紊乱可能由昆虫毒液过敏反应引起。这一特定发现可能有助于急诊医生在诊断一名无明显病因出现休克的健康患者的过敏性休克时提供帮助。
