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地塞米松联合血浆置换治疗蜂蜇伤12例临床分析 被引量:8

Clinical Analysis of 12 Cases of Dexamethasone Combined with Plasmapheresis in the Treatment of Bee Stings
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摘要 目的观察地塞米松联合血浆置换治疗蜂蜇伤的临床疗效。方法 12例蜂蜇伤患者入院后使用地塞米松15 mg加入0.9%氯化钠100 mL中静脉滴注,治疗5~7 d后逐渐减量或停用,其中10例联合血浆置换1次,2例血浆置换2次,分析治疗前后的临床表现和检测治疗前后的血液生化指标。结果治疗5~7 d后,12例患者病情均得以控制,联合血浆置换后血液生化指标较治疗前明显下降。结论地塞米松联合血浆置换是治疗蜂蜇伤的有效手段,能显著改善患者病情及保护重要脏器。 Objective To observe clinical curative effects of dexamethasone combined with plasmapheresis for treatment of bee sting injury. Methods 12 cases of bee stings in hospital were given 15rag dexa- methasone added to 0.9% NS100 mL intravenous infusion as treatment, after 5-7days, gradually reduced or withdrawn, including 10 cases combined with plasma exchange for 1 time, 2 cases for 2 times PE, clinical manifestations were analyzed and blood biochemical indexes were tested before and after treatment. Results After treatment of 5-7 days ,the disease of 12 patients were under control, biochemical index of patients received combined plasmapheresis treatment was significantly decreased than before. Conclusion Dexamethasone combined with plasmapheresis in the treatment of bee sting is effective,which can significantly im- prove the patient's condition and protect important organs.
作者 杨祖成 王丽
出处 《医学综述》 2012年第14期2329-2330,共2页 Medical Recapitulate
关键词 地塞米松 血浆置换 蜂蜇伤 Dexamethasone Plasmapheresis Bee sting injury
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参考文献5

  • 1Ranc6 F, Abbal M, Br6mont F, et al. Allergy to hymenoptera ven- oms in children [ J ]. Arch Pediatr, 1999,6 Suppl 1:55 S-60S.
  • 2杜鸿飞,赵小兰,王娟红,王政平.黄蜂致小白鼠实验性螫伤后的组织病理改变[J].陕西医学杂志,2002,31(4):354-355. 被引量:6
  • 3dos Reis MA, Costa RS, Coimbra TM, et al. Acute renal failurein experimental envennomation with Africanized bee venom[ J]. Ren- faill, 1998,20( 1 ) :39-51.
  • 4夏敬彪,刘先哲.蜂蜇伤研究进展[J].国外医学(内科学分册),2006,33(3):127-130. 被引量:75
  • 5Han HJ,Lee JH,Park SH,et al. Effect of bee wenom and its melit- tin pnapical transporters of renal proximal tubule cells[ J]. Kidney Blood Press Res,2003,23 (6) :393-399.

二级参考文献17

  • 1刘淑婧 张继红.黄蜂螫伤致急性肾功能衰竭2例[J].临床荟萃,2000,15(18):848-848.
  • 2Rudenko SV, Bojok GA, Nipot EE. [J]. Biochem Mocs, 1997,62(1) :104-109.
  • 3Nilzete LB, Francisca LC. [ J ]. Pediatr Nephrol,2002,17(8) :625-627.
  • 4Thiru T, Bak LG, Chee LL [J]. Nephrol Dial Transplant, 1999,14:214-217.
  • 5Norman A. William L [J]. Mov Disord, 1999,14( 1 ) :122-127.
  • 6Likittanasombut P. [ J ]. Neurol Neurosurg Psychiatry, 2003,74( 1 ) :134-139.
  • 7Andrew G, Lee NR.[J]. Ophthalmology, 2000,107 : 193-195.
  • 8Yang S, Zhang XM. Jiang MH. [J]. Acta Pharmacol Sini, 2001,22:279-287.
  • 9Neuman MG , Eshchar J , Cotariu D , et al. [ J ].Acta Pharmacol Toxicol ( Copenh ), 1983,53 ( 4 ) :314-319.
  • 10Andrew PC, McLean-Tooke M, Bethune CA. [ J].BMJ, 2003,327 ( 7427 ) : 1332-1335.

共引文献77

同被引文献68

  • 1王兴华,但自力.蜂蛰伤中毒临床研究进展[J].郧阳医学院学报,2011,30(2):239-242. 被引量:53
  • 2韦昭华,刘凌霞,庞小娟.综合疗法救治重型蜂蜇伤36例临床分析[J].环球中医药,2013,6(S1):128-128. 被引量:1
  • 3苏代泉.蜂螫伤20例临床分析[J].现代临床医学,2005,31(6):410-411. 被引量:2
  • 4夏敬彪,刘先哲.蜂蜇伤研究进展[J].国外医学(内科学分册),2006,33(3):127-130. 被引量:75
  • 5魏延民,王憬惺.新鲜冰冻血浆的临床应用及其安全性研究进展[J].中国输血杂志,2007,20(5):432-434. 被引量:20
  • 6Berger M,Santi L,Beys da Silva,et al.Mechanisms of acute kidney injury induced by experimental Lonomia obliqua envenomation. Archives of Toxicology . 2015
  • 7Ling Zhang,Yingying Yang,Yi Tang,et al.Recovery from AKI Following Multiple Wasp Stings:A Case Series. Clin J Am Soc Nephrol . 2013
  • 8Vincenzo Patella,Giovanni Florio,Ada Giuliano,Carmine Oricchio,Giuseppe Spadaro,Gianni Marone,Arturo Genovese,H. Renz.??Hymenoptera Venom Immunotherapy: Tolerance and Efficacy of an Ultrarush Protocol versus a Rush and a Slow Conventional Protocol(J)Journal of Allergy . 2012
  • 9Visith Sitprija,Siravit Sitprija.??Renal effects and injury induced by animal toxins(J)Toxicon . 2012 (5)
  • 10Mejía Vélez G.(Acute renal failure due to multiple stings by Africanized bees. Report on 43 cases)Nefrología : publicación oficial de la Sociedad Espa?ola Nefrologia . 2010

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