血液净化治疗蜂蜇伤的经验体会

Blood Purification Treatment Experiences of Bee Stings

目的总结血液净化治疗蜂蜇伤的临床救治经验。方法以近2年来贵州省毕节市七星关区人民医院肾内科收治的11例蜂蜇伤患者的住院治疗的病历资料为依据,对蜂蜇伤后诊治时间、临床表现、救治方法和治疗结果进行分析总结。结果 11例患者中10例进行血液透析联合血液灌流治疗,留院时间1—11天,平均5.3天,全部临床治愈。结论蜂毒可导致人体严重的过敏反应,重症蜂蜇伤可使患者多器官功能受损,严重者危及生命。采用血液透析联合血液灌流的血液净化是基础治疗,既有利于清除蜂毒,也利于维持患者水电解质和酸碱平衡。强调尽早进行血液净化治疗,从而改善患者预后。

Objective To summary the clinical experiences of blood purification treatment for bee stings. Methods 11 patients with bee stings were collected in the department of nephrology of People＇s hospital of O jxingguan District, the diagnosis and treatment of bee stings time, clinical manifestations, treatment methods and treatment results were analyzed and summarized. Results 11 patients 10 cases of hemodialysis combined with hemoperfusion, hospital stay 1-11 days, an average of 5.3 days; all patients meet with the clinical cure. Conclusion Bee venom can cause severe human allergic reactions, severe bee stings allows patients with multiple organ dysfunction, serious life-threatening. Hemodialysis joint hemoperfusion blood purification treatment is the bases not only help clear the venom, but also help maintain water and electrolyte and acid-base balance of the patient. Blood purification therapy should be concentrated as early as possible, thus improving the prognosis of patients.