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首页> 外文期刊>Clinical toxicology: the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists >Portuguese man-of-war (Physalia physalis) envenomation on the Aquitaine Coast of France: An emerging health risk
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Portuguese man-of-war (Physalia physalis) envenomation on the Aquitaine Coast of France: An emerging health risk

机译:法国阿基坦海岸上的葡萄牙人战(Physalia physalis)毒化:一种新兴的健康风险

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摘要

Context. The Portuguese man-o-war is a cnidaria classically found in tropical waters. It can cause serious and even life-threatening envenomation in swimmers, surfers and seafarers. Presence of the Atlantic species Physalia physalis has long been reported in European coastal waters but was always an exceptional event. Objective. To describe the experience of the Bordeaux Poison centre about Physalia stings since the first collective episoDe reported in 2008. Methods. Clinical retrospective description of cases series of Physalia envenomations reported to the local poison centre from 2008 to 2011 inclusive. Results. In the summer of 2008, multiple-case incident involving 40 victims were recorded on the same day on one beach in the Southern French Atlantic coast. The following year in 2009, no envenomation cases were reported in the same area, but in the next 2 years, numerous man-of-war envenomations occurred along the Aquitaine coast, that is, 154 cases in 2010 and 885 in 2011. Portuguese man-o-war stings led to severe manifestations with 15-20% of patients suffering of general symptoms that were sometimes severe enough to be considered as potentially life-threatening (8% of patients in 2011, most frequent signs: muscle pain and cramps with fasciculations, confusion and drowsiness, fainting, respiratory distress). No deaths due to Portuguese man-o-war envenomation were reported over the 4-year study period. Conclusion. The results suggest that national multidisciplinary summer surveillance program in the Aquitaine coast is required in order to proviDe alerts to the public, to better identify patients at risk for developing severe clinical symptoms, and hopefully to improve quality of health care.
机译:上下文。葡萄牙人打仗是一种在热带水域中经典发现的刺孢子虫。它可能对游泳者,冲浪者和海员造成严重甚至威胁生命的毒害。早在欧洲沿海水域就有大西洋酸浆the的存在,但一直是例外。目的。描述自2008年首次报道集体疫情以来,波尔多毒药中心关于子st的经历。方法。从2008年至2011年(含)向当地毒物中心报告的一系列Physalia毒液病例的临床回顾性描述。结果。在2008年夏天,同一天在法国南部大西洋沿岸的一个海滩上记录了多起事件,涉及40名受害者。在2009年的第二年,在同一地区没有报告有毒死病例,但在接下来的两年中,阿基坦海岸沿岸发生了许多人为攻击的毒害事件,即2010年为154例,2011年为885例。战火st动导致严重症状,有15-20%的一般症状患者有时严重到足以危及生命(2011年为8%的患者,最常见的症状是:肌肉疼痛和痉挛)束缚,困惑和嗜睡,昏厥,呼吸窘迫)。在为期4年的研究期内,没有报告因葡萄牙人为战争造成的死亡。结论。结果表明,为了向公众提供警报,更好地识别可能出现严重临床症状的患者,并希望提高医疗质量,需要在阿基坦海岸进行国家多学科夏季监控计划。

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