Retrospective Analysis of 146 Patients with Bee Sting Intoxication

Abstract：Objective To analyze clinical features,treatment and prognosis of bee sting intoxication in order to provide references for preventing it and improving rescue rate. Methods 146 patients with bee sting intoxication in Zhushan People′s Hospital and Shiyan People′s Hospital from Jan. 1997 to Dec. 2013 were reviewed. Retrospective a-nalysis was performed with the following indicators:onset time,number of stings,clinical manifestations,auxiliary ex-amination,therapeutic regimens and prognosis. Results ①Bee sting intoxication occurred mainly in Sep. and Oct. , accounting for 56. 16% . ②Clinical manifestations were complex. Multiple organs could be impaired and it was prone to induce multiple organ dysfunction syndromes. The incidences of organ lesions from high to low were liver,heart and kidney. ③There was no significant difference in the incidence of allergy symptoms among bee group,wasp group and hornet group(P ﹥ 0. 05). The incidences of dizziness,headache,myocardial damage,liver dysfunction,renal insuffi-ciency and multiple organs impairment were higher in wasp group and hornet group than that in bee group( P ﹤0. 05). ④Mortality in hemodialysis group was significantly lower than that in non - hemodialysis group(P ﹤ 0. 05). Conclusion To succeed in salvaging bee sting intoxication,it is crucial to do the following:①early and effectively antiallergic and antishock treatment;②early hemodialysis treatment;③reinforce the protection of multiple organs.