摘要
目的总结蜂蜇伤致多器官功能障碍综合征(MODS)的治疗经验,提高蜂蜇伤的诊断和治疗水平。方法回顾性分析蜂蜇伤致MODS患者1例,总结救治经验并复习相关文献,探讨蜂蜇伤的发病机制、临床表现、治疗方案、疗效及死因等。结果蜂蜇伤以蜂毒致病,可致过敏性休克、肾衰竭或多器官功能衰竭等严重后果,病死率与衰竭器官数目有关。其治疗包括局部处理、全身用药、血液净化等综合性治疗。结论在基础治疗的早期连续性肾脏替代治疗联合血液灌流(CRRT+HP)是蜂蜇伤致MODS有效的治疗手段。
Objective To summer the treatment experience of multiple organs dysfunction syndrome from bee stings and improve diagnosis andtreatment. Methods Pathogenesis, clinical manifestations, treatment options, and the reasons cause death could be found by analyzing a case report ofmultiple organs dysfunction syndrome from bee stings and reviewing the literatures. Results Bee venom could cause serious consequences anaphylacticshock, renal failure or multiple organ failure and so on. Mortality rate was related to the failure organs. The treatment included topical treatment, systemicmedication, blood purification treatment such as integrated. Conclusion Continuous renal replacement therapy（CPRT） combining with Hemoperfusion（HP）is the first choice to treat multiple organs dysfunction syndrome from bee stings in the early time.
出处
《中国处方药》
2014年第3期18-20,共3页
Journal of China Prescription Drug
关键词
蜂蜇伤
多器官功能障碍综合征
连续性肾脏替代治疗
血液灌流
Bee stings
Multiple organs dysfunction syndrome
Continuous renal replacement therapy（CPRT）
Hemoperfusion（HP）
