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住院患者烷基汞中毒治疗的临床观察

Clinical observations on treatment of alkylmercury poisoning in hospital patients.

作者信息

Bakir F, Al-Khalidi A, Clarkson T W, Greenwood R

出版信息

Bull World Health Organ. 1976;53 Suppl(Suppl):87-92.

PMID:1086170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2366399/
Abstract

Twenty-six patients suffering from methylmercury poisoning were treated by different therapeutic regimes. Seven received penicillamine or N-acetyl-d-L-penicillamine, 10 were treated with dimercaprol sulfonate and 9, who could not be treated, were given a placebo and were used as controls. Penicillamine, N-acetyl-d-L-penicillamine, and dimercaprol sulfonate reduced the blood level of mercury and increased its urinary excretion. No appreciable clinical improvement was noticed among the severe or very severe cases, while mild or moderate cases improved clinically irrespective of the treatment given.

摘要

26例甲基汞中毒患者接受了不同的治疗方案。7例接受青霉胺或N-乙酰-d-青霉胺治疗,10例接受二巯丙磺钠治疗,9例因无法接受治疗而给予安慰剂作为对照。青霉胺、N-乙酰-d-青霉胺和二巯丙磺钠降低了血液中的汞水平并增加了其尿排泄量。在重度或极重度病例中未观察到明显的临床改善,而轻度或中度病例无论接受何种治疗临床症状均有改善。

相似文献

1
Clinical observations on treatment of alkylmercury poisoning in hospital patients.住院患者烷基汞中毒治疗的临床观察
Bull World Health Organ. 1976;53 Suppl(Suppl):87-92.
2
Intoxication due to alkylmercury-treated seed--1971-72 outbreak in Iraq: clinical aspects.烷基汞处理种子中毒——1971 - 1972年伊拉克疫情:临床方面
Bull World Health Organ. 1976;53 Suppl(Suppl):65-81.
3
Clinical response to therapeutic agents in poisoning from mercury vapor.汞蒸气中毒中治疗药物的临床反应。
Ann Clin Lab Sci. 1978 Jul-Aug;8(4):259-69.
4
Tests of efficacy of antidotes for removal of methylmercury in human poisoning during the Iraq outbreak.伊拉克疫情期间人体中毒时解毒剂去除甲基汞效果的测试。
J Pharmacol Exp Ther. 1981 Jul;218(1):74-83.
5
Mercury poisoning in children. The value of N-acetyl-D,L-penicillamine in a combined therapeutic approach.儿童汞中毒。N-乙酰-D,L-青霉胺在联合治疗方法中的价值。
Clin Pediatr (Phila). 1976 Oct;15(10):936-7, 943-5. doi: 10.1177/000992287601501015.
6
Epidemiology of organomercury poisoning in Iraq. III. Clinical features and their changes with time.伊拉克有机汞中毒的流行病学。III. 临床特征及其随时间的变化。
Bull World Health Organ. 1976;53 Suppl(Suppl):49-57.
7
Elemental mercury poisoning.元素汞中毒
Clin Pharm. 1991 Mar;10(3):213-21.
8
Mercury poisoning and its treatment with N-acetyl-D,L-penicillamine.汞中毒及其用N-乙酰-D,L-青霉胺治疗
N Engl J Med. 1971 Jul 1;285(1):10-6. doi: 10.1056/NEJM197107012850102.
9
Toxicity of a family from vacuumed mercury.来自真空汞的一家之毒性。 (不过该表述似乎不太符合正常逻辑,可能原文有误,正确的或许是“因汞接触导致的一家人的中毒情况”之类更合理的表达 )
Am J Emerg Med. 1992 May;10(3):258-61. doi: 10.1016/0735-6757(92)90221-I.
10
The enigma of parkinsonism in chronic borderline mercury intoxication, resolved by challenge with penicillamine.慢性边缘性汞中毒所致帕金森综合征之谜,通过青霉胺激发试验得以解决。
Neurotoxicology. 1996 Spring;17(1):291-5.

引用本文的文献

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Revisiting Genetic Influence on Mercury Exposure and Intoxication in Humans: A Scoping Review.重新审视遗传因素对人类汞暴露及中毒的影响:一项范围综述
Toxics. 2023 Nov 29;11(12):967. doi: 10.3390/toxics11120967.
2
Therapeutic Efficacy of the N,N' Bis-(2-Mercaptoethyl) Isophthalamide Chelator for Methylmercury Intoxication in Caenorhabditis elegans.N,N'-双-(2-巯基乙基)间苯二甲酰胺螯合剂对秀丽隐杆线虫甲基汞中毒的治疗效果。
Neurotox Res. 2020 Jun;38(1):133-144. doi: 10.1007/s12640-020-00194-0. Epub 2020 Mar 31.
3
Clinical and epidemiological aspects of methylmercury poisoning.甲基汞中毒的临床与流行病学方面
Postgrad Med J. 1980 Jan;56(651):1-10. doi: 10.1136/pgmj.56.651.1.

本文引用的文献

1
An extracorporeal complexing hemodialysis system for the treatment of methylmercury poisoning. I. In vitro studies of the effects of four complexing agents on the distribution and dialyzability of methylmercury in human blood.一种用于治疗甲基汞中毒的体外络合血液透析系统。I. 四种络合剂对甲基汞在人血中分布及透析性影响的体外研究。
J Pharmacol Exp Ther. 1975 Feb;192(2):260-9.