患者男,40岁。以被大黄蜂叮螫20分钟入院。患者在野外作业时被大黄蜂叮螫全身多处,即感周身不适,心悸胸闷,随之失去知觉。查体:T 36.6℃,BP 6.3/4.0kPa。面色苍白,皮肤湿冷,脉快而弱,神志不清,呼吸困难。面部、躯干和四肢皮肤多处可见风团,局部有液体渗出。心音低钝,心电图示窦性心动过速,频发室性早搏,心肌下壁供血不足。诊断:大黄蜂螫伤,过敏性休克。立即给予鼻导管吸氧,肾上腺素1.0mg 皮下注射,50%葡萄糖20ml+10%葡萄糖酸钙20ml、地塞米 Male patient, 40 years old. To be bumblebee caution 20 minutes admission. Patients in the field when the Hornet was breezing body multiple, that feel unwell, palpitations, chest tightness, followed by loss of consciousness. Physical examination: T 36.6 ℃, BP 6.3 / 4.0kPa. Pale skin, cold and wet skin, pulse fast and weak, unconscious, breathing difficulties. Multiple facial, body and limb skin visible wind group, local liquid exudation. Low heart sound blunt, ECG shows sinus tachycardia, frequent ventricular premature beats, myocardial insufficiency. Diagnosis: Hornet injury, anaphylactic shock. Immediate nasal catheter oxygen, epinephrine 1.0mg subcutaneous injection, 50% glucose 20ml + 10% calcium gluconate 20ml, dexamethasone