[夹竹桃非致命性自我中毒：病例报告与讨论]

[A non-fatal Nerium oleander self-poisoning: case report and discussion].

作者信息

Hugues T, Arnoult M, Beau N, Yaici K, Mélandri P, Saoudi N, Gibelin P

机构信息

Service de cardiologie, centre hospitalier Princesse-Grace, Monaco, Monaco.

出版信息

Ann Cardiol Angeiol (Paris). 2012 Apr;61(2):128-31. doi: 10.1016/j.ancard.2011.07.003. Epub 2011 Aug 17.

DOI:10.1016/j.ancard.2011.07.003

PMID:21890104

Abstract

Nerium oleander is potentially lethal plants after ingestion. We report a case of poisoning by these plants. Our patient complained of nausea, vomiting, and diarrhoea. He had bradycardia during first twelve hours. He was discharge after 3 days. All parts of these plants are toxic and contain a variety of cardiac glycosides including oleandrin. In most cases, clinical management of poisoning by N. oleander involves administration of activated charcoal and supportive care. Digoxin specific Fab fragments are an effective treatment.

摘要

夹竹桃是摄入后有潜在致命性的植物。我们报告一例由这些植物引起的中毒病例。我们的患者主诉恶心、呕吐和腹泻。最初12小时内他有心动过缓。3天后他出院了。这些植物的所有部位都有毒，含有多种强心苷，包括夹竹桃苷。在大多数情况下，夹竹桃中毒的临床处理包括给予活性炭和支持性治疗。地高辛特异性Fab片段是一种有效的治疗方法。