蜜蜂蜇伤后的心室自主节律与休克
Idioventricular rhythm and shock after a honeybee sting.
作者信息
Franco-Lugo Desireé, Uribe-Vallarta Denise A, Bernal-Contreras Karen D, Vargas-Abonce Valerie P, Soto-Pérez-De-Celis Enrique, Rivera-Figueroa Jaime, Cuevas-Ramos Daniel, Gómez-Pérez Francisco J, Gómez-Sámano Miguel Á
机构信息
Universidad Anáhuac México Norte, Ciudad de México, México.
Universidad Autónoma Metropolitana Unidad Xochimilco, Ciudad de México, México.
出版信息
Arch Cardiol Mex. 2021;91(2):186-189. doi: 10.24875/ACM.20000035.
OBJECTIVE
The objective of this study was to describe the case of a 19-year-old male presenting with bradycardia and hypotension after a honeybee sting making a review of the literature and pathophysiology of the cardiovascular and electrocardiogram (EKG) changes after a bee sting.
METHODS
The patient's airway was inspected and secured. Electrocardiogram with an idioventricular rhythm at 41' bpm. Oxygen was administered, an intravenous access was established, and the transcutaneous pacemaker leads were placed on the chest of the patient, then published guidelines management was induced.
RESULTS
The EKG showed idioventricular rhythm at a rate of 41 beats/min that resolved to a normal sinus rhythm after treatment.
CONCLUSIONS
A full and prompt cardiovascular evaluation should be performed in all patients presenting to the emergency department after a bee sting, and published guidelines regarding the management of bradycardia and anaphylaxis should be followed to achieve successful outcomes.
目的
本研究的目的是描述一名19岁男性在蜜蜂蜇伤后出现心动过缓和低血压的病例，并回顾蜜蜂蜇伤后心血管及心电图（EKG）变化的文献和病理生理学。
方法
检查并确保患者气道安全。心电图显示心室自主节律，心率为41次/分钟。给予吸氧，建立静脉通路，将经皮起搏器电极置于患者胸部，然后按照已发表的指南进行处理。
结果
心电图显示心室自主节律，心率为41次/分钟，治疗后转为正常窦性心律。
结论
对于所有因蜜蜂蜇伤而到急诊科就诊的患者，均应进行全面、及时的心血管评估，并遵循已发表的关于心动过缓和过敏反应处理的指南，以取得成功的治疗效果。
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