最近审阅: 25 十月 2020
最近更新: 25 二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 有证据的咬伤/蜇伤
  • 局部水肿
  • 局部疼痛
  • 局部温暖
  • 局部印记
  • 瘙痒
  • 风疹块和潮红
  • 皮肤苍白
  • 皮肤湿冷
  • 气道损伤的体征
  • 口咽部水肿
  • 呼吸困难
  • 啰音/湿罗音/喘鸣
  • 心动过速
  • 脉搏不规则
  • 皮肤潮红
  • 警觉性改变

其他诊断因素

  • 脓疱
  • 靶心状皮疹
  • 手掌和脚掌皮疹
  • 线状凸起皮疹
  • 高血压
  • 发热
  • 肌肉痉挛
  • 发汗
  • 震颤
  • 感觉异常和/或肌束震颤
  • 全身疼痛
  • 恶心/呕吐
  • 头痛
  • 腹痛
  • 免疫功能不全状态史
  • 心血管疾病史
  • 脓肿
  • 坏死
  • 咳嗽
  • 低血压
  • 关节痛
  • 淋巴结肿大

危险因素

  • 职业或娱乐活动中接触到昆虫
  • 地域性昆虫接触
  • 过敏(或过敏样)反应既往史

诊断性检查

需考虑的检查

  • 全血细胞计数 (FBC)
  • 血清纤维蛋白溶酶
  • 敏感性试验
更多 需考虑的检查

治疗流程

撰稿人

Tom Morrissey

Associate Professor

Department of Emergency Medicine

University of Florida

Jacksonville

FL

利益声明

TM declares that he has no competing interests.

Tom Morrissey would like to gratefully acknowledge the assistance of Richard Vetter (MS) from the Department of Urban Entomology at the University of California.

利益声明

Not disclosed.

同行评议者展开全部内容

Allergist and Immunologist

Jacobs Ramirez and Freeman Allergy & Immunology

San Antonio

TX

利益声明

TMF is an author of a number of references cited in this topic.

Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident Emergency Medicine

St Thomas' Hospital

London

UK

利益声明

AP declares that he has no competing interests.

Chairman and Professor

Department of Medicine

Professor of Pediatrics

Billy S. Guyton Distinguished Professor

University of Mississippi Medical Center

Jackson

MS

利益声明

RD is an author of a reference cited in this topic.

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