Bawaskar H S
Lancet. 1982 Mar 6;1(8271):552-4. doi: 10.1016/s0140-6736(82)92057-8.
The symptoms and signs of 51 patients with a history of scorpion sting were studied. Acute pulmonary oedema with peripheral circulatory failure due to myocarditis developed in 10. Pulmonary oedema appeared within thirty minutes to ten hours after the sting. 5 out of 7 male patients in whom pulmonary oedema subsequently developed presented with priapism. Profuse sweating, mydriasis, vomiting, and peripheral circulatory failure were also seen, and, in 1 patient, the clinical picture was suggestive on pancreatitis. The remaining 40 patients has severe local pain only and no subsequent cardiac manifestations. There appears to be a positive correlation between occurrence of priapism in a male and the later development of cardiac manifestations after a scorpion sting.
对51例有蝎子蜇伤史患者的症状和体征进行了研究。10例患者因心肌炎出现急性肺水肿伴外周循环衰竭。肺水肿在蜇伤后30分钟至10小时内出现。随后发生肺水肿的7例男性患者中有5例出现阴茎异常勃起。还观察到大量出汗、瞳孔散大、呕吐和外周循环衰竭，1例患者的临床表现提示胰腺炎。其余40例患者仅出现严重局部疼痛，无后续心脏表现。男性出现阴茎异常勃起与蝎子蜇伤后心脏表现的后期发生之间似乎存在正相关。
