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多次黄蜂蜇伤后发生的库尼斯综合征:一例报告。

Kounis syndrome following multiple wasp stings: A case report.

作者信息

Basnet Angela, Khadka Manoj, Alismail Abdullah, Shrestha Dhan Bahadur, Thapa Ashok

机构信息

Department of Internal Medicine Scheer Memorial Adventist Hospital Banepa Nepal.

Nepalese Army Institute of Health Sciences Kathmandu Nepal.

出版信息

Clin Case Rep. 2023 Mar 14;11(3):e7026. doi: 10.1002/ccr3.7026. eCollection 2023 Mar.

DOI:10.1002/ccr3.7026
PMID:36937630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10014509/
Abstract

This is a case of Kounis syndrome with chest tightness, lightheadedness, unconsciousness, and features of shock following multiple wasp stings. Despite cardiopulmonary resuscitation and management of allergic and cardiac symptoms, the patient died. Kounis syndrome should be suspected when a patient presents with allergic symptoms and acute coronary syndrome.

摘要

这是一例库尼斯综合征病例,患者在多次被黄蜂蜇伤后出现胸闷、头晕、意识丧失及休克表现。尽管进行了心肺复苏以及对过敏和心脏症状的处理,但患者仍死亡。当患者出现过敏症状和急性冠状动脉综合征时,应怀疑库尼斯综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9958/10014509/7e1e34ffbfba/CCR3-11-e7026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9958/10014509/7e1e34ffbfba/CCR3-11-e7026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9958/10014509/7e1e34ffbfba/CCR3-11-e7026-g001.jpg

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本文引用的文献

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SAGE Open Med Case Rep. 2021 Mar 31;9:2050313X21999206. doi: 10.1177/2050313X21999206. eCollection 2021.
2
Propafenone Poisoning of a Female Adolescent After a Suicide Attempt.一名女性青少年自杀未遂后出现普罗帕酮中毒
Cureus. 2021 Jul 23;13(7):e16576. doi: 10.7759/cureus.16576. eCollection 2021 Jul.
3
Kounis Syndrome and Multiorgan Failure Following Multiple Wasp Stings.黄蜂多次蜇伤后发生的库尼斯综合征与多器官功能衰竭
Cureus. 2021 Apr 21;13(4):e14606. doi: 10.7759/cureus.14606.
4
Kounis syndrome after a wasp sting.黄蜂蜇伤后发生的库尼综合征。
J Paediatr Child Health. 2022 Jan;58(1):173-174. doi: 10.1111/jpc.15423. Epub 2021 Feb 27.
5
Wasp sting induced STEMI with complete coronary artery occlusion: a case of Kounis syndrome.黄蜂蜇伤诱发冠状动脉完全闭塞性ST段抬高型心肌梗死:一例库尼斯综合征病例
BMJ Case Rep. 2017 Sep 7;2017:bcr-2017-221256. doi: 10.1136/bcr-2017-221256.
6
Kounis syndrome: A review article on epidemiology, diagnostic findings, management and complications of allergic acute coronary syndrome.库尼斯综合征:关于过敏性急性冠状动脉综合征的流行病学、诊断结果、管理及并发症的综述文章
Int J Cardiol. 2017 Apr 1;232:1-4. doi: 10.1016/j.ijcard.2017.01.124. Epub 2017 Jan 27.
7
Kounis syndrome: an update on epidemiology, pathogenesis, diagnosis and therapeutic management.库尼斯综合征:流行病学、发病机制、诊断及治疗管理的最新进展
Clin Chem Lab Med. 2016 Oct 1;54(10):1545-59. doi: 10.1515/cclm-2016-0010.
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Kounis syndrome: A concise review with focus on management.Kounis 综合征:重点关注治疗的简明综述。
Eur J Intern Med. 2016 May;30:7-10. doi: 10.1016/j.ejim.2015.12.004. Epub 2016 Jan 12.
9
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10
Wasp bite in a referral hospital in Nepal.尼泊尔一家转诊医院里的黄蜂叮咬病例。
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