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昆虫及蝎子蜇伤/咬伤所致中毒

Poisoning due to insect and scorpion stings/bites.

作者信息

Nhachi C F, Kasilo O M

机构信息

DaTIS, Pharmacy, School of Medicine, Harare, Zimbabwe.

出版信息

Hum Exp Toxicol. 1993 Mar;12(2):123-5. doi: 10.1177/096032719301200205.

DOI:10.1177/096032719301200205
PMID:8096709
Abstract
  1. A retrospective study, 1980 to 1989 inclusive, of hospital admission cases due to insect and scorpion stings or bites was carried out in the six main central hospitals of Zimbabwe's four main cities. 2. A total of 92 cases were recorded and analysed. This constituted 1.5% of all hospital admissions for poisoning which were analysed during that time. 3. Of the 92 cases the highest number of victims were seen in the 2-to-5-year age group (29.3%), followed by the 6-to-10-year age group (23.9%). In other age groups the incidence of poisoning was distributed approximately evenly with the 41 to 50 and the over 60-year age groups having the least number of victims, (2.2%). 4. The main groups of insects associated with poisoning were bees, 44.6%; wasps, 8.7%; and spiders 8.7%. A further 32.6% of the insect stings were not specified. Scorpion stings accounted for 5.4% of incidences. 5. No fatalities occurred. 6. Treatment consisted mainly of the administration of promethazine, as an antihistamine in 35% of the cases, steroids (16.5% of the cases), perhaps for their anti-allergic effects, and paracetamol, a mild analgesic, (14.7% of the cases). Interestingly, 22.6% of the cases were given an antibiotic (14.1% of which were penicillins). Adrenaline was administered in only 1.7% of the cases. 7. The majority of the recorded cases, 49.4%, were hospitalized for at least a day and the average duration of hospitalization was 6.4 days.
摘要
  1. 对津巴布韦四个主要城市的六家主要中心医院1980年至1989年(含)因昆虫和蝎子蜇伤或咬伤而入院的病例进行了回顾性研究。2. 共记录并分析了92例病例。这占当时分析的所有中毒住院病例的1.5%。3. 在这92例病例中,2至5岁年龄组的受害者人数最多(29.3%),其次是6至10岁年龄组(23.9%)。在其他年龄组中,中毒发生率分布大致均匀,41至50岁年龄组和60岁以上年龄组的受害者人数最少(2.2%)。4. 与中毒相关的主要昆虫种类为蜜蜂,占44.6%;黄蜂,占8.7%;蜘蛛,占8.7%。另有32.6%的昆虫蜇伤未明确说明。蝎子蜇伤占发生率的5.4%。5. 无死亡病例。6. 治疗主要包括使用异丙嗪,35%的病例将其作为抗组胺药使用,使用类固醇(16.5%的病例),可能是因其抗过敏作用,以及使用对乙酰氨基酚,一种温和的镇痛药(14.7%的病例)。有趣的是,22.6%的病例使用了抗生素(其中14.1%为青霉素)。仅1.7%的病例使用了肾上腺素。7. 记录的病例中,大多数(49.4%)住院至少一天,平均住院时间为6.4天。

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