水母蜇伤:皮肤症状、病理生理学和处理方法综述。

IF 3.1 4区 医学 Q1 Medicine Medical Science Monitor Pub Date : 2024-07-29 DOI:10.12659/MSM.944265
Xiao Peng, Ke-Tong Liu, Jing-Bo Chen, Zi-Hao Yan, Blessing Danso, Ming-Ke Wang, Zhao-Yun Peng, Liang Xiao
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引用次数: 0

摘要

随着沿海人口的激增和沿海人类活动的日益频繁,海洋毒液中毒病例,尤其是水母毒液中毒病例显著增加。水母蜇伤可引起一系列严重程度不同的症状,包括皮肤损伤、急性全身性毒液效应、延迟性间接后遗症,甚至死亡,给患者带来极大痛苦。在这些表现中,水母蜇伤后出现皮肤损伤的情况非常普遍和严重。这些皮损的特征包括明显的水疱形成、鼓包、皮下出血、红斑、丘疹、麦粒肿、瘀斑、溃疡或皮肤坏死。局部皮肤表现可能会在初次蜇伤后持续数周甚至数月。尽管进行了积极的治疗,但许多皮肤损伤在恢复后仍会导致明显的色素沉着或疤痕。为有效解决这一问题,当务之急是开展全面的循证医学研究,阐明水母毒液中的各种成分,并阐明其致病机制,以制定有针对性的治疗方案。本文旨在综述水母蜇伤的皮肤症状、病理生理学和处理方法。这些方面的考虑可为医务人员和公众提供全面的指导,最大限度地减少水母蜇伤造成的伤害。
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Jellyfish Stings: A Review of Skin Symptoms, Pathophysiology, and Management.

With the surge in the human coastal population and the increasing frequency of human activities along the coast, cases of marine envenomation, particularly jellyfish envenomation, have notably risen. Jellyfish stings can induce a spectrum of symptoms that vary in severity, encompassing skin injuries, acute systemic venom effects, delayed indirect sequelae, and even fatality, causing significant distress to patients. Among these manifestations, the occurrence of skin lesions following jellyfish stings is prevalent and substantial. These lesions are characterized by evident blister formation, development of bullae, subcutaneous hemorrhage, erythema, papules, wheal, ecchymosis, and ulceration or skin necrosis. Local cutaneous manifestations may persist for several weeks or even months after the initial sting. Despite aggressive treatment, many skin injuries still result in significant pigmentation or scarring after recovery. To address this issue effectively, it is imperative to conduct comprehensive evidence-based medical research, elucidate various components within jellyfish venom, and elucidate its pathogenic mechanism to develop targeted treatment programs. This article aims to review the skin symptoms, pathophysiology, and management of jellyfish stings. Such considerations can provide comprehensive guidance to medical professionals and the public and minimize the harm caused by jellyfish stings.

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来源期刊
Medical Science Monitor
Medical Science Monitor MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
6.40
自引率
3.20%
发文量
514
审稿时长
3.0 months
期刊介绍: Medical Science Monitor (MSM) established in 1995 is an international, peer-reviewed scientific journal which publishes original articles in Clinical Medicine and related disciplines such as Epidemiology and Population Studies, Product Investigations, Development of Laboratory Techniques :: Diagnostics and Medical Technology which enable presentation of research or review works in overlapping areas of medicine and technology such us (but not limited to): medical diagnostics, medical imaging systems, computer simulation of health and disease processes, new medical devices, etc. Reviews and Special Reports - papers may be accepted on the basis that they provide a systematic, critical and up-to-date overview of literature pertaining to research or clinical topics. Meta-analyses are considered as reviews. A special attention will be paid to a teaching value of a review paper. Medical Science Monitor is internationally indexed in Thomson-Reuters Web of Science, Journals Citation Report (JCR), Science Citation Index Expanded (SCI), Index Medicus MEDLINE, PubMed, PMC, EMBASE/Excerpta Medica, Chemical Abstracts CAS and Index Copernicus.
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