Madani Naoufel, Sbaï Hicham, Harandou Mustapha, Boujraf Said, Achour Sanae, Khatouf Mohamed, Kanjaa Nabil
Service de Réanimation Polyvalente, CHU Hassan II, Fès, Maroc.
Presse Med. 2006 Dec;35(12 Pt 1):1828-30. doi: 10.1016/s0755-4982(06)74909-0.
Atractylis gummifera is poisonous and its ingestion causes illness, characterized principally by hepatorenal injury, often fatal. The toxicity of this plant to the fetus is not known. We report a case of poisoning during pregnancy.
A 28 year-old woman was admitted to our intensive care unit for Atractylis gummifera poisoning during her 24th week of pregnancy. She showed gastrointestinal symptoms, impaired consciousness, hypoglycemia, hepatic cytolysis and decreased factor V blood levels. The mother recovered after symptomatic treatment. A healthy boy was delivered vaginally at 39 weeks and his clinical findings and laboratory results were normal at birth and a week later.
Poisoning by Atractylis gummifera has not previously been reported during pregnancy. The favorable course of our patient and her infant do not rule out possible fetal damage from which he recovered, as his mother did.
胶苍术有毒，摄入后会引发疾病，主要特征为肝肾损伤，常可致命。这种植物对胎儿的毒性尚不清楚。我们报告一例孕期中毒病例。
一名28岁女性在怀孕第24周时因胶苍术中毒入住我们的重症监护病房。她出现了胃肠道症状、意识障碍、低血糖、肝细胞溶解以及凝血因子V血液水平下降。母亲经对症治疗后康复。一名健康男婴于39周时顺产，出生时及出生一周后的临床检查和实验室结果均正常。
此前尚无孕期胶苍术中毒的报道。我们的患者及其婴儿的良好病程并不能排除胎儿可能受到损伤，只是他如同其母亲一样从中恢复了过来。
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