Jover F, Andreu L, Robert J, Merino J
Servicio de Medicina Interna, Hospital Clínico Universitario de San Juan Alicante, España.
Rev Med Chil. 2001 Jun;129(6):660-2.
The ingestion of iron-containing products is a potential toxicological emergency. It is a leading cause of pediatric unintentional ingestion fatalities because some iron-containing compounds are readily available (vitamin mixtures, iron pills). Among adults, it has been described as accidental overdoses (mainly in pregnancy) and as suicidal attempts. We report a 42 years old woman, admitted due to the intentional ingestion of iron pills with suicidal purposes. A plain abdominal X ray showed at least 20 pills in the gastric fundus and antrum. She was successfully treated with intravenous desferroxamine chelation. Plain abdominal X ray examination can be very useful in the diagnosis of acute iron poisoning.
摄入含铁产品是一种潜在的毒理学急症。它是儿童意外摄入致死的主要原因，因为一些含铁化合物很容易获取（维生素混合物、铁丸）。在成年人中，有因意外过量摄入（主要发生在孕期）及自杀企图而导致中毒的情况。我们报告一名42岁女性，因故意吞服铁丸企图自杀而入院。腹部平片显示胃底和胃窦至少有20颗铁丸。她通过静脉注射去铁胺螯合治疗成功康复。腹部平片检查对急性铁中毒的诊断非常有用。
