Oregon Health and Science University, Portland, OR, United States.
Int Marit Health. 2022;73(4):199-202. doi: 10.5603/IMH.2022.0034.
An increasing presence on many beaches worldwide, jellyfish are a diverse group of Cnidarians equipped with stinging cells termed cnidocytes. Though few of the over 10,000 species are dangerous to humans, and most that are produce no more than a painful sting, some jellyfish can produce systemic symptoms and even death. Chironex fleckeri, the Australian box jellyfish, has a venom potent enough to kill in less than 10 minutes, and for which there is an antivenom of debatable efficacy. Stings from Carukia barnesi can cause Irukandji syndrome, characterised by severe pain and hypertension. Jellyfish stings have also been associated with Guillain-Barre syndrome and anaphylaxis. Though optimal treatment of stings remains controversial, after removal from the water and addressing any immediate life threats, the tentacles should be removed and the area washed, with seawater being the best choice due to its low likelihood of inducing further cnidocyte discharge. Hot water immersion may be beneficial for pain control for non-tropical jellyfish stings, and cold packs for tropical stings. In general, there is no consensus for the optimal treatment of jellyfish stings, and so further research is needed into species-specific guidelines and whether there are any overarching rules.
世界各地的许多海滩上都出现了越来越多的水母,它们是一组多样化的刺胞动物,配备了被称为刺细胞的刺细胞。尽管超过 10,000 种物种中只有少数对人类有危险,而且大多数只会产生疼痛的刺痛,但有些水母会产生全身症状,甚至死亡。澳大利亚箱形水母 Chironex fleckeri 的毒液足以在不到 10 分钟内致人死亡,而针对这种毒液的抗毒液的疗效却存在争议。Carukia barnesi 的蜇伤会导致伊鲁坎吉综合征,其特征是剧烈疼痛和高血压。水母蜇伤也与格林-巴利综合征和过敏反应有关。尽管水母蜇伤的最佳治疗方法仍存在争议,但在将患者从水中取出并解决任何直接的生命威胁后,应去除触须并清洗该区域,由于其不太可能引发进一步的刺细胞释放,因此最好选择海水。热水浸泡可能有助于控制非热带水母蜇伤的疼痛,而冷敷则适用于热带蜇伤。一般来说,对于水母蜇伤的最佳治疗方法尚未达成共识,因此需要进一步研究针对特定物种的指南以及是否存在任何普遍适用的规则。