Woestman R, Perkin R, Van Stralen D
Loma Linda University Children's Hospital, CA, USA.
Pediatr Emerg Care. 1996 Oct;12(5):360-4.
Pediatric cases of black widow spider envenomation (BWSE) were reviewed in order to assess the morbidity and mortality in children with BWSE, and to make recommendations for optimal therapy. The methodology includes a retrospective chart review in an urban pediatric tertiary care hospital. Included were all pediatric patients admitted with the BWSE diagnosis in the last 10 years (1984-1994). The results are based on 12 children with ages ranging from 15 months to 18 years. The BWSE syndrome is characterized by several common systemic effects. Our cases revealed abdominal pain (100%), hypertension (92%), muscle complaints (75%), a target lesion (75%), and irritability/agitation (66%) as the most common symptoms. Treatments used included antivenin, calcium gluconate, benzodiazepines, and opioids. Eight of 12 patients recovered (had relief of symptoms) within 24 hours, often by 12 hours. Antivenin did appear to bring quicker relief of symptoms. Hypertension was severe but asymptomatic in all patients. There were no complications or deaths resulting from BWSE.
回顾了小儿黑寡妇蜘蛛咬伤（BWSE）病例，以评估BWSE患儿的发病率和死亡率，并为最佳治疗提供建议。方法包括在一家城市儿科三级护理医院进行回顾性病历审查。纳入的是过去10年（1984 - 1994年）中所有诊断为BWSE的儿科患者。结果基于12名年龄在15个月至18岁之间的儿童。BWSE综合征具有几种常见的全身影响。我们的病例显示，腹痛（100%）、高血压（92%）、肌肉不适（75%）、靶形皮损（75%）以及易怒/激动（66%）是最常见的症状。使用的治疗方法包括抗蛇毒血清、葡萄糖酸钙、苯二氮䓬类药物和阿片类药物。12名患者中有8名在24小时内，通常是12小时内症状缓解。抗蛇毒血清似乎确实能更快缓解症状。所有患者的高血压都很严重但无症状。BWSE未导致并发症或死亡。
