一例罕见的对硫磷中毒导致心肌梗死的病例。

A rare case of myocardial infarction due to parathion poisoning.

作者信息

Kidiyoor Yajnesh, Nayak Vinod C, Devi Vasudha, Bakkannavar Shankar M, Kumar G Pradeep, Menezes Ritesh G

机构信息

Department of General Medicine, A. J. Institute of Medical Sciences, Mangalore, India.

出版信息

J Forensic Leg Med. 2009 Nov;16(8):472-4. doi: 10.1016/j.jflm.2009.05.003. Epub 2009 Jun 21.

DOI:10.1016/j.jflm.2009.05.003

PMID:19782319

Abstract

Organophosphorus poisoning occurs very commonly in southern India where farmers form a significant proportion of the population who commonly use organophosphorus compounds like parathion as insecticides. Awareness of the complications caused by parathion poisoning is essential for proper monitoring and treatment. We report a case of suicidal parathion poisoning in a farmer who was treated with atropine and oximes. He subsequently developed myocardial infarction, to the treatment of which, he showed no response and succumbed. In conclusion, myocardial infarction is a rare complication of parathion poisoning. Awareness of this complication of parathion poisoning, proper monitoring and treatment could prevent fatalities.

摘要

有机磷中毒在印度南部非常常见，当地农民占人口的很大比例，他们普遍使用对硫磷等有机磷化合物作为杀虫剂。了解对硫磷中毒引起的并发症对于正确的监测和治疗至关重要。我们报告一例农民自杀性对硫磷中毒病例，该患者接受了阿托品和肟类药物治疗。随后他发生了心肌梗死，对其治疗无反应并最终死亡。总之，心肌梗死是对硫磷中毒的一种罕见并发症。了解对硫磷中毒的这一并发症、进行适当的监测和治疗可预防死亡。