Oertel T, Loehr M M
Ann Emerg Med. 1984 Jun;13(6):459-61. doi: 10.1016/s0196-0644(84)80011-6.
There is a large population of unprotected individuals who are susceptible to Hymenoptera-induced anaphylaxis. Medical antishock trousers (the MAST suit) can play an important role in field treatment of anaphylactic shock. Upon application, both blood pressure and cerebral perfusion are preserved despite clinically profound vasodilation. The MAST suit mechanically increases peripheral resistance, analogous to the vasoconstrictive effects of adrenaline. In the two cases presented, the MAST suit reversed significant hypotension caused by Hymenoptera envenomation. Both patients recovered fully. Based on the suit's effectiveness in bee-sting anaphylaxis, it would seem that extended indications exist for using the MAST suit in other forms of low-resistance shock.
有大量未受保护的个体易发生膜翅目昆虫诱发的过敏反应。医用抗休克裤（MAST服）在过敏性休克的现场治疗中可发挥重要作用。应用该抗休克裤后，尽管临床上出现明显的血管扩张，但血压和脑灌注得以维持。MAST服可机械性增加外周阻力，类似于肾上腺素的血管收缩作用。在本文介绍的两例病例中，MAST服逆转了由膜翅目昆虫蜇伤引起的严重低血压。两名患者均完全康复。基于该抗休克裤在蜜蜂蜇伤过敏反应中的有效性，似乎在其他形式的低阻力休克中使用MAST服也存在更广泛的适应证。
