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蜂螫後血管阻塞:病例報告暨文獻回顧

Vessels Occlusion After Wasp Stings: A Case Report and Literature Review

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摘要


虎頭蜂螫(wasp sting)後的表現相當多樣性,由簡單的局部反應到廣泛性的、致死性的全身過敏反應均有所聞。根據文獻上記載,腦梗塞及短暫性缺血發作常是蜂螫後誘發過敏性反應的結果。不過,關於蜂毒造成的腦部以外的血管性栓塞卻少有文獻報告。本文主要是提出一位遭百餘隻虎頭蜂螫的婦女病例,針對其在蜂螫後所產生的一連串併發症做報告,並對其最後所遺留的左側偏癱及右側膝上截肢的雙重殘障加以討論。

並列摘要


Allergic reactions to wasp stings range from large local reactions to life-threatening anaphylaxis. Of the anaphylactic shock occurring outside the hospital, wasp stings was concluded to be the second cause following drug allergy. Cerebral infarction and transient ischemic attack have been reported in the setting of acute anaphylactic shock due to wasp stings. However, there are fewer reports about the presentation of large vessels occlusion outside the brain after wasp stings. Here we report on a woman suffering from a stroke and right above-knee amputation after a severe wasp sting. We had a literature review in the light of the particular complication and her dual disability.

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