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毒笔:床边诊断尿路百草枯。

The poison pen: bedside diagnosis of urinary diquat.

机构信息

Department of Emergency Medicine, UCSF-Fresno Medical Center, 155 N. Fresno Drive, Fresno, CA 93701, USA.

出版信息

J Med Toxicol. 2010 Mar;6(1):35-6. doi: 10.1007/s13181-010-0033-6.

DOI:10.1007/s13181-010-0033-6
PMID:20229151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2861174/
Abstract

Diquat is a bipyridyl herbicide with nephrotoxic effects. This in vitro study demonstrates a colorimetric test for detection of diquat in human urine. Urine specimens using ten concentrations of diquat herbicide solution and controls for urine and glyphosate were prepared. A two-step assay (addition of bicarbonate followed by sodium dithionite) was performed, with a resulting color change of the original solution for each specimen. Color change intensity was noted immediately and after 30 min, by gross visual inspection. A green color with concentration-dependent intensity was detected in all specimens, in which concentrations of diquat solution ranged from 0.73 to 730 mg/L. This colorimetric effect disappeared after 30 min. The sodium bicarbonate/dithionite test may be useful as a qualitative bedside technique for the detection of urinary diquat in the appropriate clinical setting.

摘要

敌草快是一种具有肾毒性的双吡啶类除草剂。本体外研究展示了一种用于检测人尿液中敌草快的比色试验方法。使用十种浓度的敌草快除草剂溶液和尿液及草甘膦对照品制备尿液标本。进行了两步法测定(先加入碳酸氢盐,再加入连二亚硫酸钠),每个标本的原始溶液均发生颜色变化。即刻及 30 分钟后通过肉眼观察记录颜色变化强度。所有标本均检测到具有浓度依赖性的绿色,敌草快溶液浓度范围为 0.73 至 730mg/L。30 分钟后这种比色效应消失。碳酸氢钠/连二亚硫酸钠试验可能可作为一种适用于特定临床环境的床边定性检测尿液中敌草快的技术。

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The poison pen: bedside diagnosis of urinary diquat.毒笔:床边诊断尿路百草枯。
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2
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A rapid, simultaneous determination of paraquat and diquat in serum and urine using second-derivative spectroscopy.利用二阶导数光谱法快速同时测定血清和尿液中的百草枯和敌草快。
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Simultaneous determination of diquat, paraquat, glufosinate, and glyphosate in plasma by liquid chromatography/tandem mass spectrometry: from method development to clinical application.液质联用法同时测定血浆中敌草快、百草枯、草甘膦和草铵膦:从方法建立到临床应用。
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Use of low-molecular-weight heparin in severe paraquat poisoning: a case report.低分子量肝素在重度百草枯中毒中的应用:一例报告
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本文引用的文献

1
Paraquat poisonings: mechanisms of lung toxicity, clinical features, and treatment.百草枯中毒:肺毒性机制、临床特征及治疗
Crit Rev Toxicol. 2008;38(1):13-71. doi: 10.1080/10408440701669959.
2
Mechanisms of toxicity, clinical features, and management of diquat poisoning: a review.敌草快中毒的毒性机制、临床特征及处理:综述
J Toxicol Clin Toxicol. 2000;38(2):123-8. doi: 10.1081/clt-100100926.
3
Absorption and excretion of diquat and paraquat in rats.大鼠体内敌草快和百草枯的吸收与排泄
Br J Ind Med. 1966 Apr;23(2):133-6. doi: 10.1136/oem.23.2.133.
4
Emergency analysis of paraquat in biological fluids.生物体液中百草枯的应急分析
Hum Toxicol. 1987 Jan;6(1):83-6. doi: 10.1177/096032718700600113.