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[一例曼陀罗中毒病例——鉴别诊断的一般问题]

[A case of datura stramonium poisoning--general problems of differential diagnosis].

作者信息

Osváth P, Nagy A, Fekete S, Tényi T, Trixler M, Radnai I

机构信息

Pécsi Orvostudományi Egyetem Pszichiátriai és Orvosi Pszichológiai Klinika.

出版信息

Orv Hetil. 2000 Jan 16;141(3):133-6.

Abstract

In past year drug abuse becomes more and more general in Hungary. In addition to consume traditional drugs, other substances are used frequently too. One of them is the Datura stramonium, which contains alkaloids (mostly atropine), and can result in hallucinations. Therefore Datura stramonium is seemingly becoming popular as a hallucinogenic drug. The consumption of any part of the plant causes atropine intoxication, thus anticholinergic delirium. Differential diagnosis of Datura intoxication can be difficult in the everyday medical practise. In our paper the symptomatology, diagnosis, differential diagnosis, and therapy of Datura intoxication are discussed and we report one of our cases.

摘要

在过去一年里,药物滥用在匈牙利变得越来越普遍。除了使用传统毒品外,其他物质也经常被使用。其中之一是曼陀罗,它含有生物碱(主要是阿托品),会导致幻觉。因此,曼陀罗似乎正作为一种致幻药物而流行起来。食用该植物的任何部分都会导致阿托品中毒,进而引发抗胆碱能谵妄。在日常医疗实践中,曼陀罗中毒的鉴别诊断可能会很困难。在我们的论文中,讨论了曼陀罗中毒的症状、诊断、鉴别诊断和治疗方法,并报告了我们的一个病例。

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