ĐẶC ĐIỂM BỆNH NHÂN BỊ ONG ĐỐT VÀ KẾT QUẢ ĐIỀU TRỊ TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Objective: To evaluate clinical characteristics, laboratory abnormalities and treatment results of patients with bee stings treated at the Poison Control Department of Nghe An General Friendship Hospital. Subjects and methods: prospective descriptive study on 115 patients with bee stings in 2 years 2022 and 2023. Results: Bee stings occurred mostly in men (68.7%), with average age was 50.05 ± 20.55. The main culprit bees were bumblebees (82.6%). The common manifestations were rhabdomyolysis (57.3%), acute liver injury (26.7%), acute kidney injury (25.3%), hemolysis (14.7%), and DIC (10.7%). Treatment included forced diuresis (82.6%) and hemodialysis (20%), corticosteroids (78.7%), and antihistamines (74.7%). The other supportive treatments were blood product transfusions (16%), mechanical ventilation (9.3%) and vasopressors (8.0%). After treatment, 93.3% of the patients were improved. Hospital duration were mostly not long (64% of the patients were discharged within 4 days). The mortality rate was 3.5%. Conclusions: The study has shown the main characteristics of bee stings, characteristics of patients and treatment results at the Poison Control Department of Nghe An General Friendship Hospital