病例1,患者陈××,男,26岁,被毒蜂螫伤后出现局部疼痛、搔痒、胸闷、呼吸困难。于1999年6月18日入我院急诊科。查体:BP 60/40 mmHg,R 32次/min,P 108次/min,呼吸急促,口唇青紫,左背部蜂叮螫处局部红肿,有搔抓痕迹,双手指、脚趾紫绀,双手掌青紫严重,全身毛孔扩张,皮肤潮红,脉搏细弱,心音低钝,心律齐,无杂音。考虑系毒蜂螫伤致过敏性休克。即予吸氧,0.1%肾上腺素1 mg皮下注射,非那根50 mg肌肉注射,50%葡萄糖液40 ml加10%葡萄糖酸钙10 ml加地塞米松10 mg缓慢静脉推注,10%葡萄糖500 ml加氢化可的松100 mg静滴。经上述处理后约20分钟,患者呼吸困难症状改善,口唇逐渐转红,血压回升至96/60 mmHg,住院1天痊愈出院。病例2,患者余××,男,15岁,被毒蜂螫伤后出现局部疼痛、瘙痒、头晕、恶心、胸闷、呼吸困难等症状。于1999年7月16日入我院急诊科。查体:BP 66/42 mmHg,R30次/min,P 112次/min。神志模糊,呼吸急促,口唇及四肢末梢青紫,颈部及躯干皮肤潮红,脉搏细弱,心音低钝。考虑系毒蜂螫伤后致过敏性休克。即予吸氧,0.1%肾上腺素0.5 mg皮下注射,50%葡萄糖液40 ml加 Case 1, the patient Chen × ×, male, 26 years old, was poisonous bee bruises local pain, itching, chest tightness, difficulty breathing. On June 18, 1999 into our hospital emergency department. Physical examination: BP 60/40 mmHg, R 32 beats / min, P 108 beats / min, shortness of breath, bruising lips, local red bee swelling on the left back, scratching marks, double fingers, cyanosis of the toes, Serious, systemic expansion of the pores, the skin flushing, weak pulse, low heart sound blunt, rhythm Qi, no noise. Consider the Department of poison bee sore wound caused by anaphylactic shock. That is to oxygen, 0.1% epinephrine 1 mg subcutaneous injection of Pina 50 mg intramuscular injection, 50% glucose solution 40 ml plus 10% calcium gluconate 10 ml plus dexamethasone 10 mg slow intravenous injection, 10% glucose 500 ml hydrocortisone 100 mg intravenous infusion. About 20 minutes after the above treatment, patients with dyspnea symptoms improved, lips gradually turn red, blood pressure rose to 96/60 mmHg, hospitalized 1 day cured. Case 2, patients more than × ×, male, 15 years old, was poisonous bee sting after local pain, itching, dizziness, nausea, chest tightness, breathing difficulties and other symptoms. In July 16, 1999 into our hospital emergency department. Physical examination: BP 66/42 mmHg, R30 times / min, P 112 times / min. Ambiguity, shortness of breath, lips and extremities bruising, neck and trunk skin flushing, weak pulse, low heart sound blunt. Consider the Department of allergic shock caused by bee poisoning. That is to oxygen, 0.1% epinephrine 0.5 mg subcutaneous injection, 50% glucose solution plus 40%