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頁籤選單縮合
題名 | Cardiac Arrest Caused by Wasp Stings: A Case Report and Review of the Literature=虎頭蜂螫到引起心臟停止病例報告與文獻回顧 |
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作者姓名(中文) | 張銘遠; 林廷燦; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 10:4 1999.12[民88.12] |
頁次 | 頁167-172 |
分類號 | 416.284 |
關鍵詞 | 過敏性休克; 虎頭蜂螫到; Sudden death; Anaphylactic shock; Wasp sting; |
語文 | 英文(English) |
中文摘要 | 過敏性反應或休克是引起虎頭蜂螫到心臟停止之主要原因。除此之外,大量虎頭蜂螫到所產生的毒液也可致死。我們報告一位因大約 30 隻虎頭蜂螫到而呈現心臟停止之病人,於接受氣管插管、腎上腺素、抗組織胺、大量補充水份及升壓劑後,脈搏、呼吸及體溫趨於穩定,九小時後,病人恢復了知覺。雖然於住院其間,發生敗血症和上消化道出血,但經抗生素及制酸劑治療後康復。基於我們的觀察,虎頭蜂螫到之受害者,即使是到院心臟止,如能及時施予積極又持續的高級心臟救命術,都可能成功的使病人復甦。我們希望此案例之經驗有助於意外性心臟停止之緊急處理。 |
英文摘要 | Anaphylactic reaction or shock is the primary cause of cardiac arrest from a wasp sting. In addition. massive wasp stings can also produce a lethal dose of venom in most adults. Herein, we describe a patient who with presented with cardiac arrest after approximately 30 wasp stings. He eas treated with endotracheal intubation, epinephrine (1:1000), antihistamines, massive volume replacement and dopamine until eital signs stabilized. Nine hours hater, he regained consciousness. Although the patient also experienced sepsis and upper gastrointestinal bleeding during hospitalization, he recovered after two weeks of antibiotics and antacids. Based on our observation, victims with wasp stings can be resusciated successfully using aggressive and sustained advanced cardiac life support (ACLS) procedures without delay, even if they are in cardiac arrest on arrival. We hope this case experience may be of help in emergency practice the the management of cardiac arrest. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。