Visscher P K, Vetter R S, Camazine S
Department of Entomology, University of California, Riverside 92521, USA.
Lancet. 1996 Aug 3;348(9023):301-2. doi: 10.1016/s0140-6736(96)01367-0.
Conventional advice on immediate treatment of honey-bee stings has emphasised that the sting should be scraped off, never pinched. The morphology of the sting suggested little basis for this advice, which is likely to slow down removal of the sting.
The response to honey-bee stings was assayed with a measurement of the size of the resulting weal. Injection of known quantities of venom showed that this measurement is a good indicator of envenomisation.
Weal size, and thus envenomisation, increased as the time from stinging to removal of the sting increased, even within a few seconds. There was no difference in response between stings scraped or pinched off after 2 s.
These data suggest that advice to patients on the immediate treatment of bee stings should emphasise quick removal, without concern for the method of removal.
关于蜜蜂蜇伤即时处理的传统建议一直强调应刮出蜇针，绝不要挤压。蜇针的形态表明这一建议缺乏依据，而且这可能会减慢蜇针的去除速度。
通过测量所形成的风团大小来测定对蜜蜂蜇伤的反应。注射已知量的毒液表明，这种测量是中毒程度的良好指标。
即使在几秒钟内，从蜇伤至去除蜇针的时间越长，风团大小以及由此反映的中毒程度就越大。2秒后刮除或挤压掉蜇针的反应并无差异。
这些数据表明，针对患者的蜜蜂蜇伤即时处理建议应强调快速去除蜇针，而不必在意去除方法。
