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患儿,男,1岁9个月,二天前面部被蜂蜇伤后,烦躁不安、四肢抽动半天入院。查体:急性病容、神志恍惚,表情惊恐,面部右侧皮肤可见1×1.5cm 红色斑疹,压之褪色,其中心见一深红色针尖状点,瞳孔光反应稍迟钝,心肺腹无异常,四肢间断抽动,腹壁、提睾反射稍减弱,膝反射稍亢进,实验室检查无殊,经非那更、地塞米松、季德胜蛇药等治疗,住院四天痊愈出院。蜂类的毒力不一,蜂毒主要含蚁酸,神经毒素和组织胺等,有些与蛇毒相似,可导致溶血、出血和中枢神经损害等。对蜂毒特异体质的人,轻微刺伤即可引起过敏性休克,本例即属蜂毒所致神经精神障碍。
Children, male, 1 year and 9 months old, two days before the face was bee stings, irritability, limbs twitching half a day admitted. Check the body: acute disease, trance, facial expression was horrified, the right facial skin visible 1 × 1.5cm red rash, pressure fade, the center see a deep red needle-like point, pupil light response a little slow, no abnormal heart and lung abdomen, Limbs intermittent twitching, abdominal wall, cremasteric reflex slightly weakened, knee reflex slightly hyperthyroidism, laboratory tests without special, by the more that, dexamethasone, Ji De Sheng snake medicine treatment, hospitalized four days cured. Bee venom has different virulence. Bee venom mainly contains formic acid, neurotoxin and histamine, and some are similar to snake venom and can cause hemolysis, hemorrhage and CNS damage. On the bee venom specific physique, minor stab wounds can cause anaphylactic shock, this case is caused by bee venom neuropsychiatric disorders.