Kamha Ahmed A, Al Omary Ibrahim Y M, Zalabany Hisham A, Hanssens Yolande, Adheir Fathia S
Medical Intensive Care Unit, Hamad Medical Corporation, PO Box 3050, Doha, State of Qatar.
Basic Clin Pharmacol Toxicol. 2005 May;96(5):397-8. doi: 10.1111/j.1742-7843.2005.pto_09.x.
A 42-year-old pregnant woman (26 weeks of gestation, G(4)P(0+3)) presented at the emergency department with a two-hour history of dizziness, blurred vision and repeated vomiting. These symptoms started during the use of an undiluted insecticide liquid (diazinon 60 EC) while cleaning a small non-aired bathroom. After clinical and laboratory confirmation for organophosphate poisoning (plasma pseudocholinesterase levels 161 U/l), treatment with atropine and pralidoxime was started. She recovered within 7 days and delivered a healthy baby 12 weeks later (Apgar score 9 and 10) by elective cesarean section. The child showed no signs or symptoms of organophospate, atropine or pralidoxime exposure.
一名42岁孕妇(孕26周,孕4产0 + 3)因头晕、视力模糊和反复呕吐2小时前往急诊科就诊。这些症状在清洁一个小的未通风浴室时使用未稀释的杀虫剂液体(二嗪农60乳油)过程中出现。经临床和实验室确诊为有机磷中毒(血浆假性胆碱酯酶水平161 U/l)后,开始使用阿托品和氯解磷定进行治疗。她在7天内康复,并在12周后通过择期剖宫产分娩了一名健康婴儿(阿氏评分9分和10分)。该儿童未表现出有机磷、阿托品或氯解磷定暴露的迹象或症状。