Hasegawa Shunji, Oda Yasutaka, Ichiyama Takashi, Hori Yasushi, Furukawa Susumu
Department of Allergy, Yamaguchi University, School of Medicine, and Department of Hospital Pharmacy, Niigata City General Hospital, Japan.
Pediatr Neurol. 2006 Oct;35(4):275-6. doi: 10.1016/j.pediatrneurol.2006.05.008.
This report describes a case of ginkgo nut intoxication in a 2-year-old male. The patient presented with vomiting and afebrile convulsion 4 hours after eating a large number of roasted gingko nuts. There was a large volume of ginkgo nuts in his vomited matter, and on admission the concentrations of 4-O-methoxypyridoxine in his serum and urine were elevated. The patient was diagnosed as having ginkgo nut intoxication, and diazepam and pyridoxal phosphate were administered intravenously. After the treatment, his symptoms were resolved. The neurotoxicity of ginkgo nuts should be recognized by pediatricians and parents who have infants.
本报告描述了一名2岁男性银杏果中毒的病例。该患者在食用大量烤银杏果4小时后出现呕吐和无热惊厥。其呕吐物中有大量银杏果,入院时血清和尿液中4 - O - 甲氧基吡哆醇浓度升高。该患者被诊断为银杏果中毒,静脉注射了地西泮和磷酸吡哆醛。治疗后,其症状得到缓解。儿科医生和有婴儿的家长应认识到银杏果的神经毒性。