Poisonous Fish Sting

Introduction to poisonous fish stab wounds There are many poisonous fish in the ocean, and the poisonous fish in our country are mainly ghosts and red carp. When a person comes into contact with a poisonous fish in seawater, it can be stabbed by it. The venom is injected into the human body by the spines, causing disease. The disease is more common in summer and autumn, mainly seen in young men. After being stabbed, the wound immediately bleeds, and the pain is unbearable. It lasts for several hours, and then there is extensive redness around the wound, which is like cellulitis. The treatment should raise the affected area with imipenem hydrochloride (Tauco) injection. 1ml (0.03 ~ 0.06g) is injected subcutaneously at the proximal end of the wound, and the pain can be relieved after a few minutes. basic knowledge Proportion of disease: the population seen in long-term fishing operations in the sea, the incidence rate is about 0.5% -1% Susceptible people: mainly seen in young men Mode of infection: non-infectious Complications: arrhythmia

Cause of poisonous fish stab wound

(1) Causes of the disease

People who are usually seen in the sea and those who are engaged in fishing of seafood, people who are exposed to poisonous fish in seawater are accidentally stabbed by poisonous fish, causing the disease. For swimming in the sea, try to be in shallow water areas and areas with less fish and shrimp activity. For marine fishermen, wear protective gloves to reduce the risk of poisoning fish.

(two) pathogenesis

When a person comes into contact with a poisonous fish in sea water, he can be stabbed. The venom is injected into the body by the spines and causes disease.

Poison fish stab prevention

Advocate for swimmers and fishermen in the sea, swim in safe waters, and do not use hand to move if you encounter poisonous fish.

Poisonous fish stab wound Complications arrhythmia

Because different poisonous fish have different effects on toxins, complications are also diverse, including arrhythmia, dizziness, weakness, difficulty breathing, facial paralysis, and occasional death from generalized paralysis. Therefore, once it is stabbed by poisonous fish, it should be treated in time to avoid serious toxicity caused by neurotoxin entering the blood circulation. Treatments include immediate removal of toxic punctures, inhalation of venom by mouth, and local injection of trypsin to break down toxins, thereby reducing toxic reactions.

Poisonous fish stab symptoms common symptoms vaginal paralysis arrhythmia abdominal pain

The incidence is more common in summer and autumn, mainly seen in young men. After being stabbed, the wound immediately bleeds and feels painful. It lasts for several hours, and then there is extensive redness around the wound, like cellulitis. If the disease continues to develop, Local tissue swelling is more pronounced, turning purple black and appearing defects, common in the exposed parts of the hands and feet, light one week can be resolved, severe cases can be accompanied by vomiting, abdominal pain, sweating, prostration and arrhythmia, and even systemic muscle paralysis death .

In the summer and autumn, when people are exposed to poisonous fish in the sea water, they are stabbed. After being stabbed, the wound immediately bleeds, and the pain is unbearable. It lasts for several hours, and then there is extensive redness around the wound, which is like cellulitis.

Poisonous fish puncture inspection

The wound can be seen with active bleeding, and it can be painful for a few hours. Then there is extensive redness around the wound, which is like cellulitis. This is caused by toxic damage caused by toxin invading the tissue. Secondly, it can be combined with bacterial infection to cause wound suppuration. Should pay attention to check blood routine, C-reactive protein, because the toxin has damage to liver, kidney and heart muscle, so liver and kidney function, myocardial enzyme spectrum, troponin must also be examined.

Histopathology: Nodular lesions mainly manifested as foreign body granuloma reaction mainly composed of tissue cells and epithelioid cells. There were more plasma cells, lymphocytes and neutrophils infiltration, and a few macrophages were also seen. Among them are new blood vessels.

Diagnosis and identification of poisonous fish stab wound

diagnosis

Diagnosis can be based on the cause, symptoms, and related tests.

Differential diagnosis

The disease is caused directly by the poisonous fish pricking the skin, so the disease does not need to be identified. For patients with existing skin damage (such as infectious skin damage, sputum, sputum, etc.) during the fishing process, being infected by seawater and contaminants can cause wound pain and need to be differentiated from the disease. The latter first has known skin damage, and the poisonous fish stab is the skin is not damaged, it is caused by puncture damage during fishing, so it is easy to distinguish.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.