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儿童蝎子蜇伤。51例病例回顾。

Scorpion sting in children. A review of 51 cases.

作者信息

Amitai Y, Mines Y, Aker M, Goitein K

出版信息

Clin Pediatr (Phila). 1985 Mar;24(3):136-40. doi: 10.1177/000992288502400303.

DOI:10.1177/000992288502400303
PMID:3971639
Abstract

Scorpion sting in children is a hazardous and potentially lethal condition. Fifty-one infants and children were admitted to the Pediatric Departments at the Hadassah-Hebrew University Hospitals in Jerusalem, during a 5-year period, following scorpion sting. Fifteen (29.4%) had severe systemic signs of envenomation and two (3.9%) died. Analysis of our data showed that patients with severe toxicity were brought to the hospital after a significantly longer time lapse than were the patients with mild-to-moderate symptoms. The current management of children with scorpion envenomation consists of administration of specific antivenom and close surveillance in an intensive care unit, where vital signs and continuous cardiac monitoring enable early initiation of therapy for life-threatening complications, such as cardiac and respiratory failure, convulsions, or hypertension.

摘要

儿童蝎子蜇伤是一种危险且可能致命的情况。在五年期间,有51名婴儿和儿童在耶路撒冷的哈达萨希伯来大学医院儿科住院,均为蝎子蜇伤后入院。其中15名(29.4%)出现严重的全身中毒症状,两名(3.9%)死亡。对我们数据的分析表明,与轻至中度症状的患者相比,出现严重中毒症状的患者被送往医院的时间间隔明显更长。目前对蝎子蜇伤儿童的治疗包括注射特异性抗蛇毒血清,并在重症监护病房进行密切监测,在那里生命体征和持续心脏监测能够早期启动针对危及生命并发症(如心脏和呼吸衰竭、惊厥或高血压)的治疗。

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Arch Toxicol. 2020 Sep;94(9):3315-3327. doi: 10.1007/s00204-020-02799-y. Epub 2020 Jun 16.
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Echocardiography guided therapy for myocarditis after scorpion sting envenomation.超声心动图引导下治疗蝎蜇伤中毒后心肌炎
J Clin Diagn Res. 2013 Dec;7(12):2836-8. doi: 10.7860/JCDR/2013/6791.3693. Epub 2013 Dec 15.
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NT-proBNP in Myocarditis after a Scorpion Sting Envenomation.
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Indian red scorpion envenoming.印度红蝎蜇伤
Indian J Pediatr. 1998 May-Jun;65(3):383-91. doi: 10.1007/BF02761131.
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Myocardial damage after a scorpion sting: long-term echocardiographic follow-up.蝎子蜇伤后的心肌损伤:长期超声心动图随访
Pediatr Cardiol. 1988;9(1):59-61. doi: 10.1007/BF02279887.
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Management of the cardiovascular manifestations of poisoning by the Indian red scorpion (Mesobuthus tamulus).印度红蝎(Mesobuthus tamulus)中毒心血管表现的管理。
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