Vikrant Sanjay, Parashar Anupam
Departments of Nephrology (Dr Vikrant) and Community Medicine (Dr Parashar), Indira Gandhi Medical College, Shimla, India.
Departments of Nephrology (Dr Vikrant) and Community Medicine (Dr Parashar), Indira Gandhi Medical College, Shimla, India.
Wilderness Environ Med. 2017 Sep;28(3):249-252. doi: 10.1016/j.wem.2017.05.007. Epub 2017 Jul 18.
Acute kidney injury (AKI) is an unusual complication of wasp stings. Treatment of established AKI is largely supportive but the preventive strategies are not well documented. This is a report of 2 human cases that developed AKI after multiple wasp stings (Vespa magnifica). Each patient reached the hospital early in their clinical course and was treated with intravenous hydration and urine alkalization. In both the cases the severity of AKI, morbidity, and duration of hospitalization were reduced. The requirement of dialysis therapy was avoided. We propose early treatment with intravenous hydration, diuretic administration, and urine alkalization in such cases to prevent systemic and renal complications.
急性肾损伤（AKI）是黄蜂蜇伤的一种罕见并发症。已确诊的AKI的治疗主要是支持性治疗，但预防策略的文献记载并不充分。本文报告了2例因多次被黄蜂（金环胡蜂）蜇伤后发生AKI的病例。每位患者在临床病程早期即入院，并接受了静脉补液和尿液碱化治疗。在这两个病例中，AKI的严重程度、发病率和住院时间均有所降低。避免了透析治疗的需求。我们建议在此类病例中早期进行静脉补液、给予利尿剂和尿液碱化治疗，以预防全身和肾脏并发症。
