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普萘洛尔治疗蝎螫伤。

Prazosin treatment in the management of scorpion envenomation.

机构信息

Department of Pediatrics, Yuzuncu Yil University School of Medicine, Van, Turkey.

出版信息

Hum Exp Toxicol. 2010 Mar;29(3):231-3. doi: 10.1177/0960327109359639. Epub 2010 Jan 12.

DOI:10.1177/0960327109359639
PMID:20068012
Abstract

Scorpion stings represent an important and serious public health problem worldwide due to their high incidence and potentially severe and often fatal clinical manifestations. Children are at greater risk of developing severe cardiac, respiratory, and neurological complications due to lesser body surface area. Alpha receptor stimulation plays important role in the pathogenesis of pulmonary edema. Prazosin, a post synaptic alpha blocker, can be recommended as an effective drug in the treatment of serious scorpion envenomations with significant sympathetic symptoms. Oral prazosin is fast acting, easily available, relatively cheap, free from any anaphylaxis and highly effective.

摘要

蝎子蜇伤是一个重要且严重的全球公共卫生问题,这是由于其高发病率以及潜在的严重且常致命的临床表现。由于儿童的体表面积较小,因此他们面临更大的发生严重心脏、呼吸和神经并发症的风险。α受体刺激在肺水肿的发病机制中起重要作用。特拉唑嗪是一种突触后α阻滞剂,可作为具有明显交感神经症状的严重蝎子蜇伤的有效治疗药物。特拉唑嗪口服起效快、易于获得、相对便宜、无任何过敏反应且非常有效。

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Prazosin therapy and scorpion envenomation.哌唑嗪疗法与蝎蜇伤
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引用本文的文献

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Life threatening scorpion sting on adult complicated by: acute toxic myocarditis, cardiogenic shock, pulmonary edema, acute kidney injury and toxic hepatitis: a case report.成人危及生命的蝎子蜇伤并伴有:急性中毒性心肌炎、心源性休克、肺水肿、急性肾损伤和中毒性肝炎:一例报告
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2
Severe Troponin I Elevation and Myocardial Dysfunction in a Child with Scorpion Sting.一名被蝎子蜇伤儿童出现严重肌钙蛋白I升高及心肌功能障碍
J Pediatr Intensive Care. 2018 Dec;7(4):219-224. doi: 10.1055/s-0038-1673624. Epub 2018 Oct 3.
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Scorpion-related cardiomyopathy and acute pulmonary edema in a child who is stung by .
一名儿童被蝎子蜇伤后出现的蝎子相关性心肌病和急性肺水肿 。 (原句表述不完整,“by”后面缺少内容)
Turk J Emerg Med. 2017 Mar 18;17(3):104-108. doi: 10.1016/j.tjem.2016.12.005. eCollection 2017 Sep.
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Pharmacophore mapping based inhibitor selection and molecular interaction studies for identification of potential drugs on calcium activated potassium channel blockers, tamulotoxin.基于药效团映射的抑制剂筛选及分子相互作用研究,以鉴定钙激活钾通道阻滞剂塔莫毒素的潜在药物
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Efficacy and safety of scorpion antivenom plus prazosin compared with prazosin alone for venomous scorpion (Mesobuthus tamulus) sting: randomised open label clinical trial.蝎毒抗血清联合哌唑嗪与单独使用哌唑嗪治疗毒蝎(Mesobuthus tamulus)蜇伤的疗效和安全性比较:随机开放标签临床试验。
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