Sadaka Yair, Broides Arnon, Tzion Raffi Lev, Lifshitz Matitiahu
Department of Pediatric Emergency, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
J Emerg Trauma Shock. 2011 Jul;4(3):433-4. doi: 10.4103/0974-2700.83893.
Organophosphate acetylcholine esterase inhibitor poisoning is a major health problem in children. We report an unusual cause of organophosphate acetylcholine esterase inhibitor poisoning. Two children were admitted to the pediatric intensive care unit due to organophosphate acetylcholine esterase inhibitor poisoning after exposure from a home-made shampoo that was used for the treatment of head lice. Owing to no obvious source of poisoning, the diagnosis of organophosphate acetylcholine esterase inhibitor poisoning in one of these patients was delayed. Both patients had an uneventful recovery. Organophosphate acetylcholine esterase inhibitor poisoning from home-made shampoo is possible. In cases where the mode of poisoning is unclear, direct questioning about the use of home-made shampoo is warranted, in these cases the skin and particularly the scalp should be rinsed thoroughly as soon as possible.
有机磷酸酯类乙酰胆碱酯酶抑制剂中毒是儿童中的一个主要健康问题。我们报告了一例不寻常的有机磷酸酯类乙酰胆碱酯酶抑制剂中毒原因。两名儿童因接触用于治疗头虱的自制洗发水后发生有机磷酸酯类乙酰胆碱酯酶抑制剂中毒而入住儿科重症监护病房。由于中毒来源不明显，其中一名患者的有机磷酸酯类乙酰胆碱酯酶抑制剂中毒诊断被延迟。两名患者均顺利康复。自制洗发水导致有机磷酸酯类乙酰胆碱酯酶抑制剂中毒是有可能的。在中毒方式不明的情况下，有必要直接询问是否使用了自制洗发水，在这些情况下，应尽快彻底冲洗皮肤，尤其是头皮。
