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黄蜂叮咬后发生持续性室性心动过速的罕见病例。

An unusual case of sustained ventricular tachycardia following a wasp bite.

作者信息

Sharma Tarun, Sharma Aradhna, Bhatnagar Mukul

机构信息

Department of Internal Medicine, Civil Hospital, Kangra, Tanda, Himachal Pradesh, India.

Department of Pharmacology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India.

出版信息

J Family Med Prim Care. 2016 Oct-Dec;5(4):879-881. doi: 10.4103/2249-4863.201165.

DOI:10.4103/2249-4863.201165
PMID:28349013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5353836/
Abstract

Sustained ventricular tachycardia (VT) is a life-threatening condition which requires immediate intervention. We report a case of unusual etiology of sustained VT in a 42-year-old male after a wasp bite in the absence of anaphylaxis. The patient was treated with amiodarone and improved within 48 h. Thus, wasp stings can lead to serious tachyarrhythmias which can be life-threatening. Emergency care physicians should be aware of such arrhythmias in the setting of wasp bites which can be fatal.

摘要

持续性室性心动过速(VT)是一种危及生命的疾病,需要立即进行干预。我们报告一例42岁男性在黄蜂叮咬后发生持续性室性心动过速且病因不寻常的病例,该患者无过敏反应。患者接受了胺碘酮治疗,并在48小时内病情好转。因此,黄蜂蜇伤可导致严重的快速性心律失常,可能危及生命。急诊医生应警惕黄蜂叮咬情况下可能致命的此类心律失常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef7/5353836/2929613ec9f5/JFMPC-5-879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef7/5353836/2929613ec9f5/JFMPC-5-879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef7/5353836/2929613ec9f5/JFMPC-5-879-g001.jpg

相似文献

1
An unusual case of sustained ventricular tachycardia following a wasp bite.黄蜂叮咬后发生持续性室性心动过速的罕见病例。
J Family Med Prim Care. 2016 Oct-Dec;5(4):879-881. doi: 10.4103/2249-4863.201165.
2
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Am Heart J. 1987 Aug;114(2):279-83. doi: 10.1016/0002-8703(87)90491-1.

本文引用的文献

1
Unusual occurrence of ventricular tachycardia induced by single bee sting.单蜂蜇伤诱发室性心动过速的罕见病例
Indian J Crit Care Med. 2015 Jul;19(7):429-30. doi: 10.4103/0972-5229.160295.
2
Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines.蜂类毒液过敏的诊断和管理:英国过敏与临床免疫学会(BSACI)指南。
Clin Exp Allergy. 2011 Sep;41(9):1201-20. doi: 10.1111/j.1365-2222.2011.03788.x.
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Ventricular tachycardia and sudden cardiac death.室性心动过速与心源性猝死。
Mayo Clin Proc. 2009 Mar;84(3):289-97. doi: 10.4065/84.3.289.
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Allergy and the cardiovascular system.过敏与心血管系统。
Clin Exp Immunol. 2008 Sep;153 Suppl 1(Suppl 1):7-11. doi: 10.1111/j.1365-2249.2008.03714.x.
5
Multiple organ dysfunction syndrome following single wasp sting.黄蜂单次蜇伤后并发多器官功能障碍综合征
Indian J Pediatr. 2007 Dec;74(12):1111-2. doi: 10.1007/s12098-007-0208-6.
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Atrial flutter following a wasp sting.
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Stinging insect allergy.蜂蜇昆虫过敏
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A new class of neurotoxin from wasp venom slows inactivation of sodium current.黄蜂毒液中的一类新型神经毒素会减缓钠电流的失活。
Eur J Neurosci. 2000 Jun;12(6):1961-70. doi: 10.1046/j.1460-9568.2000.00084.x.
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Bee and wasp venoms.蜜蜂和黄蜂毒液。
Science. 1972 Jul 28;177(4046):314-22. doi: 10.1126/science.177.4046.314.