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腹部X光片在溴脲中毒诊断中的价值(作者译)

[The value of abdominal radiographs in the diagnosis of bromurea intoxication (author's transl)].

作者信息

Schumacher K A, Rittmeyer K

出版信息

Rofo. 1978 Dec;129(6):724-7. doi: 10.1055/s-0029-1231194.

DOI:10.1055/s-0029-1231194
PMID:153273
Abstract

Brom-substituted mono-urea hypnotics, which may be taken with suicidal intent, can be demonstrated radiologically. The value of routine abdominal x-rays in the recognition of intoxications has been examined at the University Clinic, Ulm, on patients admitted in 1976 and 1977. It has been shown that it is usually possible radiographically to indicate whether bromurea compounds have been taken in significant quantities, The bromurea has low solubility in the stomach and it is therefore possible to demonstrate the amount and type of substance present; this has some bearing on immediate treatment. Rapid removal of the toxic substance is so important for effective treatment that routine abdominal radiographs appear indicated for all life-threatening intoxications. Confusion with other opaque substances in practise is confined to preparations containing bismuth; although these are widely used, they have no significant toxicity.

摘要

可用于自杀的溴代单脲类催眠药可通过放射学检查显示出来。乌尔姆大学诊所对1976年和1977年收治的患者进行了研究,以探讨常规腹部X光片在识别中毒方面的价值。结果表明,通过放射学检查通常能够判断是否摄入了大量溴脲化合物。溴脲在胃中的溶解度较低,因此可以确定所摄入物质的数量和类型;这对即时治疗具有一定意义。迅速清除有毒物质对有效治疗至关重要,因此对于所有危及生命的中毒情况,常规腹部X光片检查似乎是必要的。在实际应用中,与其他不透光物质的混淆仅限于含铋制剂;尽管这些制剂广泛使用,但它们没有明显毒性。

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