West Patrick L, Horowitz B Zane, Montanaro Marc T, Lindsay James N
Oregon Health and Science University, Oregon Poison Center, Legacy Emmanuel Hospital, Mail Code CB 550, Portland, OR 97239, USA.
Pediatr Emerg Care. 2009 Nov;25(11):761-3. doi: 10.1097/PEC.0b013e3181bec925.
The ingestion of poison hemlock, or Conium maculatum, is described in a 2-year-old boy. He had the onset of abdominal pain and weakness after being fed C. maculatum picked by his sister from the roadside 2 hours earlier. He had a rapidly progressive muscular weakness and was intubated for respiratory failure. His symptoms completely resolved within 24 hours of the ingestion. Conium maculatum is a common weed that causes toxicity by its primary toxin, coniine, which stimulates nicotinic receptors and causes a syndrome of rapidly progressive muscle weakness and paralysis. We describe the course of a benign-appearing plant ingestion resulting in respiratory failure.
本文描述了一名2岁男孩误食毒芹（Conium maculatum）的情况。两小时前，他的姐姐从路边采了毒芹喂给他吃，随后他开始出现腹痛和乏力症状。他的肌肉无力迅速进展，因呼吸衰竭而插管。摄入毒芹后24小时内，他的症状完全消失。毒芹是一种常见杂草，其主要毒素coniine可导致中毒，该毒素刺激烟碱受体，引起快速进展的肌肉无力和麻痹综合征。我们描述了一次看似无害的植物摄入却导致呼吸衰竭的过程。
