Quadrani D A, Spiller H A, Steinhorn D
Kentucky Regional Poison Center, Louisville 40232-5070, USA.
Vet Hum Toxicol. 2000 Apr;42(2):96-8.
Acute selenium poisoning occurs infrequently. The form of selenium encountered plays a great role in toxicity. Several fatalities have been reported and all but I involved ingestion of selenious acid or selenium dioxide. A healthy 22-mo-old male ingested up to 15 ml of Gun Blue solution (selenious acid). Initially he was pink, alert, and combative in the ambulance but his condition rapidly deteriorated. There was no measurable blood pressure, his oxygen saturation was 84% by pulse oximetry, and his mental status deteriorated to require hand ventilation. The child was cyanotic, unresponsive, and without palpable pulses upon presentation. Cardiopulmonary resuscitation was initiated unsuccessfully and was terminated after 35 minutes.
急性硒中毒很少发生。所接触的硒的形态对毒性起着很大作用。已有数起死亡报告，除1例之外，其他均涉及摄入亚硒酸或二氧化硒。一名健康的22个月大男性摄入了多达15毫升的贡蓝溶液（亚硒酸）。最初在救护车上时，他面色红润、意识清醒且好斗，但病情迅速恶化。血压无法测量，经脉搏血氧饱和度仪测量其血氧饱和度为84%，精神状态恶化到需要手动通气。患儿面色青紫、无反应，就诊时脉搏无法触及。心肺复苏术开始实施但未成功，35分钟后终止。
