52例蜂蛰伤患者回顾性分析
首发时间:2019-01-18
摘要:目的 初步研究宜昌市蜂蛰伤的流行病学特征及临床表现,为防治蜂蛰伤提供参考。方法 收集我院2015至2017年收治的蜂蛰伤临床资料,对其性别、年龄、发病时间、居住地、蜇伤部位和住院时间等数据进行描述性统计分析。结果 蜂蛰伤50-70岁居多(67.3%);9-11月好发(84.6%);以夷陵区农民为主;头面部蛰伤多见(90%);主要症状为疼痛(100%)、尿量减少(44%)、恶心呕吐(42.3%);以心肌(61.5%)和肝细胞(52%)为损伤主,75.4%的患者并发MODS;2015年、2016年和2017年平均住院时间分别是14.5±10.7、12.5±17.7和15.4±13.3天,差异无统计学意义(P>0.05)。结论 蜂蛰伤好发于中老年人群,9-11月易发,头面部蛰伤多见,疼痛、尿量减少为主要症状,累及心肌和肝细胞。治疗上需关注老年患者,防治肝、肾、心肌损伤,以降低死亡率。
关键词: 蜂蛰伤 多器官功能障碍综合征 中毒 流行病学
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The retrospective analysis of 52 cases of wasp sting
Abstract:Objective: This study was to investigate the incidence,and describe the epidemiological and clinical characteristics of wasp stings in Yichang. Methods: 52 wasp stings cases were retrospectively analyzed in Yichang Central People\'s Hospital in Hubei province from 2015 to 2017 as well as to describe the epidemiological characteristics, such as sex, age, onset time, residence, stings location and the color of urine, et al. And iThe retrospective analysis of 52 cases of wasp stingt was drawn the distribution maps of time, geography and injury, respectively. Results: It indicated that age of wasp stings\' patients were common from 50 to 70-year-old (incidence rate 67.3%), and the time was mainly occurred from September to November (incidence rate 84.6%). Comparing with other districts, the incidence rate of Yiling District was the highest. And it also discovered that the injury position was mainly located in the head and face((incidence rate 90%),The patients may appear different symptoms, including pains(100%), oliguria(44%), nausea(42.3%) and vomiting (42.3%). Moreover, the injury of organs were mainly heart muscle (61.5%) and liver cells (52%), and 75.4% of the patients with multiple organ dysfunction syndrome. The average days of hospitalization were 14.5±10.7, 12.5±17.7 and 15.4±13.3 days respectively from2015 to2017, and there was no statistical significance(P>0.05). Conclusion: Wasp stings mainly occurred in the population of older from September to November. The wounds position were distributed in the head and face, and it mainly caused pains and oliguria. Even more seriously, it may damage heat muscle, liver and kidney cell. Therefore, it need to pay more attention to elderly patients to avoid liver, kidney and myocardial from damaging, to reduce the mortality.
Keywords: Wasp sting MODS Poisoning Epidemiology
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