Gupta S, O'Donnell J, Kupa A, Heddle R, Skowronski G, Roberts-Thomson P
Flinders Medical Centre, Bedford Park, SA.
Med J Aust. 1988;149(11-12):602-4. doi: 10.5694/j.1326-5377.1988.tb120799.x.
A retrospective case analysis of 101 adverse reactions to bee-stings and a prospective questionnaire analysis of the proposed management by local medical practitioners and resident hospital staff members of three hypothetical bee-sting reactions has revealed that understanding of the use of adrenaline in patients with reactions to bee envenomation is confused with regard to the indications for its use, dosage and route; that corticosteroid agents are used or are recommended too frequently, sometimes as the sole therapeutic agent; and that there is a lack of awareness of the need for volume replacement in hypotensive shocked patients. These conclusions highlight the urgent need for a greater understanding of the optimal forms of management for patients with acute anaphylactic reactions to bee envenomation.
对101例蜂蜇不良反应的回顾性病例分析，以及对当地医生和三家医院住院医护人员针对三种假设的蜂蜇反应所建议处理方法的前瞻性问卷调查分析显示，在蜂毒中毒反应患者中，对于肾上腺素的使用，在其使用指征、剂量和途径方面存在认识混乱；皮质类固醇药物使用或被推荐得过于频繁，有时作为唯一的治疗药物；并且对于低血压休克患者需要补充液体这一点缺乏认识。这些结论凸显了迫切需要更好地了解急性蜂毒过敏反应患者的最佳处理方式。
