病因病理、发病机护理病案临床病例蜂蛰伤护理病案临床病例.pptx

病因病理、发病机制Etiology、PathologyandPathogenesis

病因:Etiology:患者于9月3日下午在山里捡菌子时不慎被胡峰蜇伤全身多处，并伴有皮疹，疼痛不适，期间晕厥一次，伴随大小便失禁。ThepatientwasaccidentallystungbyahornetwhilepickingmushroomsinthemountainsonSeptember3rd.Thestingcausedmultiplerashesanddiscomfortthroughoutthebody,leadingtofaintingonceandaccompaniedbyurinaryandfecalincontinence.EtiologyandPathology病因病理

病因:Etiology:蜂蛰伤是指蜜蜂或胡峰的尾部毒刺蛰入皮肤后释放出蜂毒，而引起局部皮肤症状或全身反应。Beestinginjuryreferstothepenetrationofabeeorhornetsvenomousstingerintotheskin,resultinginlocalskinsymptomsorsystemicreactions.EtiologyandPathology病因病理

病理:Pathology：EtiologyandPathology病因病理蜂毒HoneybeevenomBA肽类即蜂毒肽、蜂毒明肽、肥大细胞脱颗粒肽等Translation:Peptidesincludebeevenompeptide,melittin,andmastcelldegranulatingpeptide.生物胺类即组胺、乙酰胆碱等Biolamines,suchashistamineandacetylcholine.

被胡峰蛰伤后，皮肤立即出现红肿、疼痛AfterbeingstungbyHuFeng,theskinimmediatelyappearedswellingandpain01蜂毒穿透皮肤，进入血液Beevenompenetratestheskin,intotheblood02毒液通过血液循环系统，在体内蔓延Thevenomspreadsthroughthebloodstream03病理:Pathology：EtiologyandPathology病因病理

临床表现Clinicalmanifestation

Clinicalmanifestation临床表现过敏反应直接毒性过敏反应Allergicreaction(与中毒剂量无关，存在个体差异)Translation:Irrespectiveofthedosage,individualdifferencesexist.直接毒性Directtoxicity(有明显的剂量效应关系)Thereisacleardose-responserelationship.蜂蜇伤过敏性休克Anaphylacticshock多器官功能障碍Multipleorgandysfunctionsyndrome

直接毒性Clinicalmanifestation临床表现①红肿、剧痛、瘀点、坏死、淋巴管变黑、淋巴结炎症肿痛。Swelling,severepain,petechiae,necrosis,lymphaticvesselsblackening,lymphnodeinflammationswellingandpain.②皮疹、憋闷、呼吸困难、喉头水肿、恶心呕吐，部分患者可出现过敏性休克。Rash,suffocating,dyspnea,laryngealedema,nauseaandvomiting,Somepatientsmayexperienceanaphylaxis.一、过敏反应AllergicreactionA

Clinicalmanifestation临床表现直接毒性Directtoxicit③急性肝衰竭Acuteliverfailure二、直接毒性DirecttoxicitA④急性肾衰竭Acuterenalfailure肝区肿大、胀痛、黄疸，巩膜黄染，肝性昏迷及急性肝衰竭。Acuteliverfailure:hepatomegaly,pain,jaundice,yellowingofsclera,hepaticcomaan