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目的:观察甲泼尼龙治疗蜂毒所致溶血性贫血的疗效。方法:7例蜂蛰伤所致的溶血性贫血,入院后除血液透析及常规对症处理外,采用大剂量甲基泼尼松龙静滴,连续3~5 d。结果:全部患者2-3 d后溶血得到控制,6例治愈,1例死于呼吸衰竭。结论:大剂量甲基泼尼松龙治疗能有效控制蜂毒所致的溶血,对蜂毒所致的其他合并症的治疗也是有效和安全的。
Objective: To observe the curative effect of methylprednisolone on hemolytic anemia caused by bee venom. Methods: Hemolytic anemia was induced by bee sting in 7 cases. After admission, except for hemodialysis and conventional symptomatic treatment, high dose methylprednisolone infusion was given for 3 ~ 5 days continuously. Results: Hemolysis was controlled after 2-3 days in all patients, 6 cases were cured and 1 died of respiratory failure. Conclusion: High-dose methylprednisolone treatment can effectively control the hemolysis induced by bee venom and is effective and safe for the treatment of other complications caused by bee venom.