蜂蜇伤的少见并发症及其预防

Rare complications of bee sting and their prevention

蜂蜇伤是全球范围内常见的膜翅目损伤,临床表现以局部损伤反应、全身过敏反应和中毒性多器官功能损伤为主。蜂蜇伤后常可继发急性脑血管病等神经系统并发症,肠系膜缺血坏死、穿孔和肝坏死、脓肿等消化系统并发症,以及Kounis综合征、应激性心肌病、皮肤软组织特殊病原体感染及全身感染等,但相对少见。本文拟重点介绍以上几种少见并发症的发生机制、临床表现及防治策略,以期为蜂蜇伤的规范化诊治提供参考。

Bee sting is a common damage by hymenoptera insects worldwide,characterized by local injury reaction,systemic allergic response,and toxic multi-organ dysfunction in clinic.Bee sting often leads to some secondary neurological complications such as acute cerebrovascular diseases etc.,digestive system complications such as mesenteric ischemia necrosis or perforation,hepatic necrosis,hepatic abscess,as well as Kounis syndrome,stress cardiomyopathy,specific pathogen infections of skin and soft tissue,and systemic infections,but they are quite rare.This paper aims to focus on introducing the mechanisms,clinical manifestations,and prevention and treatment strategies of the complications above mentioned,in order to provide reference for the standardized diagnosis and treatment of bee sting.