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題 名 | Acute Pulmonary Hemorrhage Following a Honeybee Sting:A Case Report=蜜蜂叮咬後併發急性肺出血:一病例報告 |
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作 者 | 林仙明; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:2 1998.06[民87.06] |
頁 次 | 頁133-136 |
分類號 | 415.96 |
關鍵詞 | 蜜蜂叮咬; 急性肺出血; Acute pulmonary hemorrhage; Honeybee sting; |
語 文 | 英文(English) |
中文摘要 | 蜜蜂叮咬後可以引起全身性反應。如侵犯皮膚,會引起紅疹,皮膚癢,蕁痳疹或 血管性水腫;侵犯呼吸道,會引起咽喉水腫及氣喘;侵犯心臟,會抑制心肌收縮,引起休克 ;侵犯胃腸,會引起噁心、嘔吐及失禁。但文獻尚未有被蜜蜂叮咬後引起急性肺出血的報告 。本文描述一位 14 歲女孩,其右手第四指被蜜蜂叮咬了一口後,便引起急性肺出血。血清 IgE 有異常升高之現象, 胸部 X 光發現肺門周圍有肺泡浸潤性病灶,同時動脈血液氣體分 析發現代謝性血酸症及嚴重缺氣。使用抗組織胺、升壓藥物、類固醇、支氣管擴張劑、體液 補充及呼吸器輔助治療後,病情奇蹟地好轉。該病人被蜜蜂叮咬後引起急性肺出血,可能經 由過敏反應引起。 |
英文摘要 | A generalized allergic reaction to or anaphylaxis from honeybee sting may involve the skin with erythema, puritus, urticaria, or angioedema; the respiratory tract with laryngeal edema, and brochospasm; the cardiovascular system with myocardial depression, hypotension, and shock; and the gastrointestinal system with nausea, vomiting, and incontinence. Acute pulmonary hemorrhage following a honeybee sting has never been reported. We describe a previously healthy 14-year-old girl who developed acute pulmonary hemorrhage, hypotension, and generalized skin rash after a single honeybee sting on her right fourth finger. Her serum immunoglobulin E (IgE) was high (360 IU/mL). Chest X-ray revealed perihilar alveolar infiltrative lesions. Metabolic acidosis and hypoxemia were also found. After treatment with antihistamines, dopamine, corticosteroids, bronchodilaters, fluid replacement, and mechanical ventilation, her condition improved dramatically. A hypersensitivity reaction to honeybee venom is the most likely explanation for this unusual case of acute pulmonary hemorrhage. |
本系統中英文摘要資訊取自各篇刊載內容。