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[一例有机磷与甲醇混合中毒病例]

[A case of mixed poisoning by organophosphate and methanol].

作者信息

Fujino Yasuhisa, Inoue Yoshihiro, Onodera Makoto, Endo Shigeatsu, Nakayama Hideki, Chida Fuminori, Niitsu Hisae

机构信息

Department of Critical Care Medicine, Iwate Medical University.

出版信息

Chudoku Kenkyu. 2003 Oct;16(4):459-62.

Abstract

We encountered a case of mixed poisoning by organophosphate and methanol. Each poisoning was comparatively frequent but we reviewed no cases of mixed poisoning of them. A 49-year-old woman was transferred to our hospital because of oral ingestion of organophosphorous compound (about 14 g of fenitrothion) and glass cleaner (about 40 g of methanol) for suicidal purpose. She underwent general antioverdose treatment including gastric lavage, activated charcoal and cathartics. For fenitrothion poisoning, she received atropine and pralidoxime. For methanol poisoning, she was treated with hemodialysis. Three days later, she moved to psychiatric ward from emergency ward without aftereffects and was given a diagnosis of depression.

摘要

我们遇到了一例有机磷和甲醇混合中毒的病例。每种中毒情况都相对常见,但我们未查阅到它们混合中毒的病例。一名49岁女性因出于自杀目的口服有机磷化合物(约14克杀螟硫磷)和玻璃清洁剂(约40克甲醇)被转送至我院。她接受了包括洗胃、活性炭和泻药在内的一般解毒治疗。对于杀螟硫磷中毒,她接受了阿托品和氯解磷定治疗。对于甲醇中毒,她接受了血液透析治疗。三天后,她从急诊病房转至精神科病房,未留下后遗症,并被诊断为抑郁症。

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