Póvoa R, Maciel F M, Orlando J M, Póvoa E F, Honsi E, Kasinski N, Ferreira C, Szynkier R
Hospital Municipal Dr. Arthur Ribeiro de Saboya, SP.
Arq Bras Cardiol. 1992 Aug;59(2):95-8.
To evaluate cardiac alterations secondary to exogenous intoxication by paraquat.
We performed analysis of clinical and laboratory data of 25 patients with acute paraquat poisoning admitted in our ICU from November 1983 to January 1991.
There were purposeful overdoses in 24 cases (96%). The mortality rate was 56%. The lung involvement was 96%, renal was 92%, gastrointestinal tract was 72%, hepatic was 56%, and cardiac involvement was 40%.
Cardiac involvement due to paraquat is frequent (40%). The clinical picture of this involvement has a wide spectrum, ranging from minimal changes in the ECG to acute and extensive myocardial necrosis.
评估百草枯外源性中毒继发的心脏改变。
我们对1983年11月至1991年1月入住我院重症监护病房的25例急性百草枯中毒患者的临床和实验室数据进行了分析。
24例(96%)为蓄意过量服用。死亡率为56%。肺部受累率为96%,肾脏为92%,胃肠道为72%,肝脏为56%,心脏受累率为40%。
百草枯所致心脏受累很常见(40%)。这种受累的临床表现范围广泛,从心电图的微小变化到急性广泛性心肌坏死。