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蜂毒成分复杂多样,群蜂蛰伤由于大量毒液的注入,将导致人体多系统脏器功能的损伤,肾脏损伤最常见。蜂毒致急性肾损伤的主要临床表现为血红蛋白尿、少尿甚至无尿及肾功能异常,同时也可出现水、电解质及酸碱平衡的紊乱。目前蜂毒中毒尚无特异的治疗方案,除了积极的对症支持治疗外,及时的血液净化联合肾上腺素和大剂量糖皮质激素冲击治疗对于缩短患者住院时间,改善预后非常重要。免疫治疗对蜂毒过敏的患者亦是有效的治疗方案。
The complex and diverse composition of bee venom, stinger insects as a result of a large number of venom injection, will lead to multiple organ system damage, renal damage most common. The main clinical manifestations of acute renal injury caused by bee venom are hemoglobinuria, oliguria and even anuria and renal dysfunction, as well as water, electrolyte and acid-base balance disorders. At present there is no specific treatment for bee poisoning. In addition to active symptomatic and supportive treatment, timely blood purification combined with epinephrine and high-dose glucocorticoid impact therapy is very important for shortening hospital stay and improving prognosis. Immunotherapy for patients with bee allergy is also an effective treatment.