Analysis on coagulation function in 294 cases of bee sting injury / 国际检验医学杂志

ABSTRACT

Objective To investigate the change of coagulation indexes in the patients with bee sting injury .Methods A total of 294 cases of bee sting injury were selected as the study subjects and divided into the mild bee sting injury group (A ,1 -2 sites) , moderate bee sting injury group(B ,3-10sites) ,severe bee sting injury group(C ,11-20sites) and extremely severe bee sting injury group(D ,≥21sites) according to the number of sting site .Meanwhile 40 healthy people were selected as the control group .The changes of prothrombin time(PT),internation alnormalized ratio(INR),activated partial thromboplastin time(APTT)and fibrinogen(FIB) were compared among groups .Results PT and APTT in the severe bee sting injury group and extremely severe bee sting injury group were significantly prolonged within 4-9 h after bee sting injury compared with the control group (P＜0 .05) .APTT , PT and INR had obviously dose effect positive correlation with bee sting sites (r=0 .583 ,0 .340 ,0 .327 ,P＜0 .01) .Conclusion APTT is closely correlated with bee sting sites and seeing doctor time ,which can serve as the effective monitoring indexes in the treatment process of bee sting injury .