黄蜂引起的急性神经和呼吸道并发症:一个案例报告
Ying Peng1,2, Fuping Luo3, Hao Wang1
1Department of Emergency, the Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
The American journal of case reports
|February 24, 2026
概括
黄蜂刺伤可以导致严重的多器官功能障碍,包括急性呼吸困扰综合征 (ARDS) 和中风. 早期识别和干预对于管理这些罕见的,危及生命的并发症至关重要.
科学领域:
- 毒理学 毒理学 毒理学
- 神经学 神经学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 黄蜂通常是轻微的,但可能导致严重的全身影响.
- 危及生命的症状包括血液溶解,体溶解,急性损伤和肝损伤.
- 神经和呼吸道并发症,如中风和ARDS很少被报告.
研究的目的:
- 报告一个罕见的多器官功能障碍病例,发生在黄蜂刺后.
- 突出严重神经和呼吸道并发症的可能性.
主要方法:
- 一个56岁的妇女被多个黄蜂伤的案例报告.
- 实验室检测和部MRI/MRA用于诊断.
- 治疗包括甲基prednisolone,血交换,连续脏替代疗法,血管压缩剂,机械通风和康复.
主要成果:
- 患者出现了急性呼吸困扰综合征 (ARDS),急性损伤 (AKI) 和脑梗塞.
- 最初的症状包括低血压和白细胞数量升高.
- 神经缺陷 (半) 在治疗和康复后显著消失.
结论:
- 黄蜂刺可以引发多器官功能障碍综合征,包括ARDS,AKI和脑梗塞.
- 临床医生必须警黄蜂的罕见并发症.
- 及时识别和干预对于管理严重结果至关重要.
更多相关视频
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
951
07:40A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
9.5K
相关概念视频
Allergic Reactions
32.6K
Overview
32.6K
Acute Respiratory Failure-IV
618
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
618
Acute Respiratory Failure-III
1000
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
1000
Asthma-III: Symptoms and Complications
3.4K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
3.4K
Allergic Reactions: Anaphylaxis
62
Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin,...
62
Local Anesthetics: Adverse Effects
881
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
881
