病因病理、發(fā)病機(jī)護(hù)理病案臨床病例蜂蟄傷護(hù)理病案臨床病例

病因病理、發(fā)病機(jī)制Etiology、PathologyandPathogenesis病因:

Etiology:

患者于9月3日下午在山里撿菌子時(shí)不慎被胡峰蜇傷全身多處，并伴有皮疹，疼痛不適，期間暈厥一次，伴隨大小便失禁。ThepatientwasaccidentallystungbyahornetwhilepickingmushroomsinthemountainsonSeptember3rd.Thestingcaused

multiplerashesanddiscomfortthroughoutthebody,leadingtofaintingonceandaccompaniedbyurinaryandfecalincontinence.EtiologyandPathology病因病理病因:

Etiology:

蜂蟄傷是指蜜蜂或胡峰的尾部毒刺蟄入皮膚后釋放出蜂毒，而引起局部皮膚癥狀或全身反應(yīng)。Beestinginjuryreferstothepenetrationofabeeorhornet'svenomousstingerintotheskin,resultinginlocalskinsymptomsorsystemicreactions.EtiologyandPathology病因病理病理:

Pathology：

EtiologyandPathology病因病理蜂毒HoneybeevenomBA肽類即蜂毒肽、蜂毒明肽、肥大細(xì)胞脫顆粒肽等Translation:"Peptidesincludebeevenompeptide,melittin,

andmastcelldegranulatingpeptide."生物胺類即組胺、乙酰膽堿等Biolamines,suchashistamineandacetylcholine.被胡峰蟄傷后，皮膚立即出現(xiàn)紅腫、疼痛AfterbeingstungbyHuFeng,theskin

immediatelyappearedswellingandpain01蜂毒穿透皮膚，進(jìn)入血液Beevenom

penetratestheskin,intotheblood02毒液通過血液循環(huán)系統(tǒng)，在體內(nèi)蔓延Thevenomspreadsthroughthebloodstream03病理:

Pathology：

EtiologyandPathology病因病理臨床表現(xiàn)ClinicalmanifestationClinicalmanifestation臨床表現(xiàn)過敏反應(yīng)直接毒性過敏反應(yīng)

Allergicreaction(與中毒劑量無關(guān)，存在個(gè)體差異)Translation:Irrespectiveofthedosage,individualdifferencesexist.直接毒性

Directtoxicity(有明顯的劑量效應(yīng)關(guān)系)Thereisacleardose-responserelationship.蜂蜇傷過敏性休克Anaphylacticshock多器官功能障礙Multipleorgandysfunctionsyndrome直接毒性Clinicalmanifestation臨床表現(xiàn)①紅腫、劇痛、瘀點(diǎn)、壞死、淋巴管變黑、淋巴結(jié)炎癥腫痛。Swelling,severepain,petechiae,necrosis,lymphaticvesselsblackening,lymphnodeinflammationswellingandpain.②皮疹、憋悶、呼吸困難、喉頭水腫、惡心嘔吐，部分患者可出現(xiàn)過敏性休克。Rash,suffocating,dyspnea,laryngealedema,nauseaandvomiting,Somepatientsmayexperienceanaphylaxis.一、過敏反應(yīng)

AllergicreactionAClinicalmanifestation臨床表現(xiàn)直接毒性

Directtoxicit③急性肝衰竭Acuteliverfailure二、直接毒性

DirecttoxicitA④急性腎衰竭Acuterenalfailure肝區(qū)腫大、脹痛、黃疸，鞏膜黃染，肝性昏迷及急性肝衰竭。Acuteliverfailure:hepatomegaly,pain,jaundice,yellowingofsclera,hepaticcomaandAcuteliverfailure.早期出現(xiàn)血尿及蛋白尿如茶色、醬油色、洗肉水樣，全身水腫及少尿。

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