患者男,20岁。因上椰子树时,被一群黄蜂螫伤头部后即感头部剧痛,随后出现头晕,恶心,呕吐。入院后体检:BP10/7kPa,表情淡漠,面色苍白,脉搏细速,四肢湿冷,躯干四肢皮肤潮红,头顶部多处受螫,伤处红肿,有瘀点,无遗留螫刺。经皮下注射肾上腺素0.5ml,血压渐回升并趋平稳。伤处以10%氨 Patient male, 20 years old. Due to the coconut tree, was a headache after a group of wasps hurt head, then dizziness, nausea, vomiting. After admission, physical examination: BP10 / 7kPa, expression of indifference, pale, pulse speed, cold limbs, limbs, skin and limbs flushing, head top of the Department by 螫, injury swollen, petechia, without leaving stab. Subcutaneous injection of epinephrine 0.5ml, blood pressure gradually rebounded and stable. Injury to 10% ammonia