Adolph J, Dehnert I, Fischer J F, Wenz W
Z Erkr Atmungsorgane. 1986;166(1):119-24.
The immunotherapy with purified bee and wasp venom is indicated for patients with severe general reactions after insect stings, positive prick test and positive RAST. One hundred seventy four persons were treated for three years with bee venom (SSW Dresden) and 34 patients with wasp venom (Reless). Challenge by a stinging bee after treatment proved in 90 per cent complete protection. There were no general reactions during hyposensitization with wasp venom, but in 46 per cent occurred general reactions during immunotherapy with bee venom. Therefore rush desensitization should be performed in indoor patients till a top dose of 100 micrograms/ml is reached. Booster injections can be given to outdoor patients. All individuals with systemic reactions after insect stings have to get an emergency treatment kit and must be familiar with its application.
对于昆虫叮咬后出现严重全身反应、点刺试验阳性及放射变应原吸附试验阳性的患者,可采用纯化蜂毒和黄蜂毒液进行免疫治疗。174人接受了三年的蜂毒(德累斯顿SSW)治疗,34名患者接受了黄蜂毒液(Reless)治疗。治疗后经蜜蜂叮咬激发试验证明,90%的患者得到了完全保护。用黄蜂毒液进行减敏治疗期间未出现全身反应,但在用蜂毒进行免疫治疗期间,46%的患者出现了全身反应。因此,对于室内患者应进行快速减敏治疗,直至达到100微克/毫升的最高剂量。户外患者可进行加强注射。所有昆虫叮咬后出现全身反应的个体都必须配备急救药箱,并必须熟悉其使用方法。