Expert Consensus Statement on Standardized Diagnosis and Treatment of Bee Sting in Sichuan_West China Medical Journal

Authors：

Poisoning and Resuscitation Study Group of Sichuan Emergency Medicine Committee

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Keywords：

蜂螫傷; 診斷; 治療; 專家共識

DOI：

10.7507/1002-0179.20130416

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目前國內外尚缺乏蜂螫傷規范化診治相關的指南，臨床工作中存在對蜂螫傷可能導致的嚴重損傷早期病情評估不足及缺乏統一的治療方案等問題，從而影響預后。為此，四川省急診醫學專委會特組織了中毒與復蘇學組專家在對四川省內蜂螫傷發病情況及診療現狀進行初步流行病學調查的基礎上，對蜂螫傷診治進展進行了總結，形成了《四川省蜂螫傷規范化診治專家共識》，作為蜂螫傷治療的指導。然而蜂螫傷治療的療效受多種因素影響，只有結合具體情況，在規范化基礎上進行個體化治療才能達到最佳治療效果。隨著相關臨床證據的不斷積累，專家委員會也將對共識內容進行不斷更新。

Citation： Poisoning and Resuscitation Study Group of Sichuan Emergency Medicine Committee. Expert Consensus Statement on Standardized Diagnosis and Treatment of Bee Sting in Sichuan. West China Medical Journal, 2013, 28(9): 1325-1328. doi: 10.7507/1002-0179.20130416 Copy

1.	Bilo BM, Rueff F, Mosbech H, et al. Diagnosis of Hymenoptera venom allergy[J]. Allergy, 2005, 60(11): 1339-1349.
2.	Antonicelli L, Bilò MB, Bonifazi F. Epidemiology of Hymenoptera allergy[J]. Curr Opin Allergy Clin Immunol, 2002, 2(4): 341-346.
3.	Golden DB. Insect sting allergy and venom immunotherapy: a model and a mystery[J]. J Allergy Clin Immunol, 2005, 115(3): 439-447.
4.	Grigoreas C, Galatas ID, Kiamouris C, et al. Insect-venom allergy in Greek adults[J]. Allergy, 1997, 52(1): 51-57.
5.	Incorvaia C, Mauro M, Pastorello EA. Hymenoptera stings in conscripts[J]. Allergy, 1997, 52(6): 680-681.
6.	Novembre E, Cianferoni A, Bernardini R, et al. Epidemiology of insect venom sensitivity in children and its correlation to clinical and atopic features[J]. Clin Exp Allergy, 1998, 28(7): 834-838.
7.	Fernandez J, Blanca M, Soriano V, et al. Epidemiological study of the prevalence of allergic reactions to Hymenoptera in a rural population in the Mediterranean area[J]. Clin Exp Allergy, 1999, 29(8): 1069-1074.
8.	Navarro LA, Peláez A, de la Torre F, et al. Epidemiological factors on Hymenoptera venom allergy in a Spanish adult population[J]. J Investig Allergol Clin Immunol, 2004, 14(2): 134-141.
9.	Fernandez J, Soriano V, Mayorga L, et al. Natural history of Hymenoptera venom allergy in Eastern Spain[J]. Clin Exp Allergy, 2005, 35(2): 179-185.
10.	Kogias JS, Sideris SK, Anifadis SK. Kounis syndrome associated with hypersensitivity to Hymenoptera stings [J]. Int J Cardiol, 2007, 114(2): 252 -255.
11.	Onba?i K, Onba?i O, Eminbeyli L, et al. Prevalence and alternative therapy methods for bee and wasp allergy in Van[J]. Allergy, 2008, 63(2): 246-247.
12.	Lieberman P, Nicklas RA, Oppenheimer J, et al. The diagnosis and management of anaphylaxis practice parameter: 2010 update[J]. J Allergy Clin Immunol, 2010, 126(3): 477-480.
13.	Golden DB, Moffitt J, Nicklas RA, et al. Stinging insect hypersensitivity: a practice parameter update 2011[J]. J Allergy Clin Immunol, 2011, 127(4): 852-854.
14.	Díaz-Sánchez CL, Lifshitz-Guinzberg A, Ignacio-Ibarra G, et al. Survival after massive (>2000) Africanized honeybee stings [J]. Arch Intern Med, 1998, 158(8): 925-927.
15.	Bell M, Liljestam E, Granath F, et al. Optimal follow-up time after continuous renal replacement therapy in actual renal failure patients stratified with the RIFLE criteria[J]. Nephrol Dial Transplant, 2005, 20(2): 354-360.
16.	Bilo BM, Bonifazi F. Advances in hymenoptera venom immunotherapy[J]. Curr Opin Allergy Clin Immunol, 2007, 7(6): 567-573.
17.	Bonifazi F, Jutel M, Bilo BM, et al. Prevention and treatment of hymenoptera venom allergy: guidelines for clinical practice[J]. Allergy, 2005, 60(12): 1459-1470.

1. 　Bilo BM, Rueff F, Mosbech H, et al. Diagnosis of Hymenoptera venom allergy[J]. Allergy, 2005, 60(11): 1339-1349.
2. 　Antonicelli L, Bilò MB, Bonifazi F. Epidemiology of Hymenoptera allergy[J]. Curr Opin Allergy Clin Immunol, 2002, 2(4): 341-346.
3. 　Golden DB. Insect sting allergy and venom immunotherapy: a model and a mystery[J]. J Allergy Clin Immunol, 2005, 115(3): 439-447.
4. 　Grigoreas C, Galatas ID, Kiamouris C, et al. Insect-venom allergy in Greek adults[J]. Allergy, 1997, 52(1): 51-57.
5. 　Incorvaia C, Mauro M, Pastorello EA. Hymenoptera stings in conscripts[J]. Allergy, 1997, 52(6): 680-681.
6. 　Novembre E, Cianferoni A, Bernardini R, et al. Epidemiology of insect venom sensitivity in children and its correlation to clinical and atopic features[J]. Clin Exp Allergy, 1998, 28(7): 834-838.
7. 　Fernandez J, Blanca M, Soriano V, et al. Epidemiological study of the prevalence of allergic reactions to Hymenoptera in a rural population in the Mediterranean area[J]. Clin Exp Allergy, 1999, 29(8): 1069-1074.
8. 　Navarro LA, Peláez A, de la Torre F, et al. Epidemiological factors on Hymenoptera venom allergy in a Spanish adult population[J]. J Investig Allergol Clin Immunol, 2004, 14(2): 134-141.
9. 　Fernandez J, Soriano V, Mayorga L, et al. Natural history of Hymenoptera venom allergy in Eastern Spain[J]. Clin Exp Allergy, 2005, 35(2): 179-185.
10. 　Kogias JS, Sideris SK, Anifadis SK. Kounis syndrome associated with hypersensitivity to Hymenoptera stings [J]. Int J Cardiol, 2007, 114(2): 252 -255.
11. 　Onba?i K, Onba?i O, Eminbeyli L, et al. Prevalence and alternative therapy methods for bee and wasp allergy in Van[J]. Allergy, 2008, 63(2): 246-247.
12. 　Lieberman P, Nicklas RA, Oppenheimer J, et al. The diagnosis and management of anaphylaxis practice parameter: 2010 update[J]. J Allergy Clin Immunol, 2010, 126(3): 477-480.
13. 　Golden DB, Moffitt J, Nicklas RA, et al. Stinging insect hypersensitivity: a practice parameter update 2011[J]. J Allergy Clin Immunol, 2011, 127(4): 852-854.
14. 　Díaz-Sánchez CL, Lifshitz-Guinzberg A, Ignacio-Ibarra G, et al. Survival after massive (>2000) Africanized honeybee stings [J]. Arch Intern Med, 1998, 158(8): 925-927.
15. 　Bell M, Liljestam E, Granath F, et al. Optimal follow-up time after continuous renal replacement therapy in actual renal failure patients stratified with the RIFLE criteria[J]. Nephrol Dial Transplant, 2005, 20(2): 354-360.
16. 　Bilo BM, Bonifazi F. Advances in hymenoptera venom immunotherapy[J]. Curr Opin Allergy Clin Immunol, 2007, 7(6): 567-573.
17. 　Bonifazi F, Jutel M, Bilo BM, et al. Prevention and treatment of hymenoptera venom allergy: guidelines for clinical practice[J]. Allergy, 2005, 60(12): 1459-1470.

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Expert Consensus Statement on Standardized Diagnosis and Treatment of Bee Sting in Sichuan

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