Pearn J, Hawgood S
Med J Aust. 1979 Sep 8;2(5):228-30. doi: 10.5694/j.1326-5377.1979.tb127100.x.
The syndrome of bee-sting anaphylaxis is described. Children who have suffered crescendo reactions to previous bee stings, especially children with a history of asthma, are significantly at risk. Desensitization is required in such cases; adrenaline should be kept in the home, and parents should be trained in its emergency use. The immunological mechanisms of bee-sting anaphylaxis are described. The striking seasonal incidence of anaphylaxis suggests that pollen or plant products which are incorporated in the venom may also be important in its genesis; it suggests also that antigens prepared from either whole-body or pure-venom extracts should be prepared from bees which are collected in late spring.
本文描述了蜂蜇过敏综合征。既往对蜂蜇有渐进性反应的儿童,尤其是有哮喘病史的儿童,面临显著风险。此类情况需要进行脱敏治疗;家中应备有肾上腺素,且应培训家长掌握其紧急使用方法。文中还描述了蜂蜇过敏的免疫机制。过敏反应明显的季节性发病率表明,毒液中所含的花粉或植物产物可能在其发病过程中也起重要作用;这还表明,由全虫提取物或纯毒液提取物制备的抗原,应采用春末采集的蜜蜂来制备。