Hoshiko Michiko, Naito Shinji, Koga Mitsuaki, Mori Mihoko, Hara Kunio, Ishitake Tatsuya
National Hospital Organization Ureshino Medical Center.
Chudoku Kenkyu. 2007 Apr;20(2):131-6.
We present the case of a 55-year-old male agricultural worker who complained of severe general fatigue and hyperperspiration after exposure to an insecticide vapor. He worked in a tea plantation and used chlorfenapyr, a broad spectrum for harmful insects, without any protective mask or clothes. After one day of insecticide spray work, he gradually began to complain of general fatigue, hyperperspiration, nausea and vomiting. At first, he was diagnosed as being dehydrated and was treated with fluid replacement therapy. Although he received this conservative therapy, there was no effect on the above mentioned symptoms. On the 7th day of the onset of his symptoms, his consciousness level deteriorated rapidly and body temperature exceeded 40 degrees C. No cerebral vascular disease or meningitis was observed. Finally, he died despite intensive care. The findings of the clinical course and laboratory data suggest a clinical diagnosis of acute pesticide poisoning due to exposure to chlorfenapyr vapor. We suggest that agricultural workers should use this insecticide with caution and sufficient protective gear.
我们报告一例55岁男性农业工人的病例，他在接触杀虫剂蒸气后出现严重的全身疲劳和多汗。他在茶园工作，使用了氯虫苯甲酰胺，一种用于防治有害昆虫的广谱杀虫剂，未佩戴任何防护口罩或衣物。在进行一天的杀虫剂喷洒工作后，他逐渐开始抱怨全身疲劳、多汗、恶心和呕吐。起初，他被诊断为脱水，并接受了补液治疗。尽管接受了这种保守治疗，但上述症状并无改善。在症状出现的第7天，他的意识水平迅速恶化，体温超过40摄氏度。未观察到脑血管疾病或脑膜炎。最终，尽管进行了重症监护，他还是去世了。临床病程和实验室数据结果提示因接触氯虫苯甲酰胺蒸气导致急性农药中毒的临床诊断。我们建议农业工人应谨慎使用这种杀虫剂并配备足够的防护装备。
