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蜂蜇伤后肱动脉血栓形成,病例报告。

Brachial artery thrombosis following bee sting, case report.

作者信息

Akgul Mehmet Huseyin, Bagırov Eldar

机构信息

Department of Neurosurgery, Kırıkkale State Hospital, Yahsihan, Kırıkkale, Turkey.

Department of Cardiovasculer Surgery, Kırıkkale State Hospital, Yahsihan, Kırıkkale, Turkey.

出版信息

Int J Surg Case Rep. 2021 Jan;78:184-186. doi: 10.1016/j.ijscr.2020.11.156. Epub 2020 Dec 2.

Abstract

INTRODUCTION

Bee stings are the most common among insect emergencies.

PRESENTATION OF CASE

We present a 47-year-old male patient who was admitted to the emergency department with complaints of pallor, chills, numbness and bruising on the left palm one hour after a bee sting on his left leg, and a very rare case of brachial artery stenosis in Dopler ultrasonography.

DISCUSSION

Often bee stings occur only with local allergic reactions; sometimes it can also cause myocardial infarction, pulmonary edema, bleeding, hemolytic anemia, and kidney disease and neurological manifestations. Side effects are generally thought to be related to the dose of this venom in these patients who are admitted to the emergency room with a bruise extending from the left hand to the arm after bee bites.

CONCLUSION

With this case presented, we wanted to emphasize that thrombosis may occur due to bee stings, albeit rarely, and doctors in emergency departments should recognize these very rare cases.

摘要

引言

蜜蜂蜇伤是昆虫类紧急情况中最常见的。

病例介绍

我们报告一名47岁男性患者,他在左腿被蜜蜂蜇伤一小时后因面色苍白、寒战、麻木以及左手掌瘀伤而被收入急诊科,并且在多普勒超声检查中发现了非常罕见的肱动脉狭窄病例。

讨论

蜜蜂蜇伤通常仅伴有局部过敏反应;有时也可导致心肌梗死、肺水肿、出血、溶血性贫血、肾病以及神经学表现。在这些因蜜蜂叮咬后左手至手臂出现瘀伤而入住急诊室的患者中,副作用通常被认为与这种毒液的剂量有关。

结论

通过呈现该病例,我们想强调蜜蜂蜇伤虽罕见但可能会导致血栓形成,急诊科医生应认识到这些极为罕见的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff85/7771038/e24f5eee76ca/gr1.jpg

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