Li Z J, Zeng J Y
Department of Emergency, Xiangya Hospital, Central Souty University, Changsha 410008.
Hunan Yi Ke Da Xue Xue Bao. 2001 Feb 28;26(1):65-6.
In our study, we observed the clinical manifestations of 15 tetramethylenedisulfotetramine (TEM) toxicosis emergency patients diagnosed by plasma toxin chemical analysis, and evaluated the effect of emergency treatments. All cases could not be differentiated from the other kinds of toxicosis by clinical manifestations, and toxin chemical analysis was the sole definite diagnosis method. The effect of gastric lavage in early stage was especially obvious, 13 cases with convulsions got immediate relief after plasma exchange, the use of large dosage of tranquilizer resulted in better control on convulsion in 4 cases treated with ventilator than that in the others. Gastric lavage and chemical toxin analysis in early stage are of vital importance, plasma exchange, tracheotomy and mechanical ventilation are the most effective reatment methods.