Carvalho W A, Matos G B, Cruz S L, Rodrigues D S
Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, BA, Brasil.
Rev Saude Publica. 1990 Feb;24(1):39-46. doi: 10.1590/s0034-89101990000100007.
In the attempt to correlate clinical findings with serum levels of aldrin, sixteen patients were followed-up after acute intoxication by this agent. Eight of them, males and females, aged from 1 to 37 years, presented no or light symptoms (some discomfort and nausea). The serum of one of these patients was found to contain 16.6 ppb of aldrin and that of another, 1.41 ppb of dieldrin. A group of five patients, aged from two to 30 years, showed symptoms of moderate severity, reporting nausea, vomiting, drowsiness, dyspnea, sweating, mild jerking, rise in blood pressure and convulsions. Of these cases, two were accidental and three were attempted suicides, the majority achieving complete recovery within 24 hours. Serum levels of aldrin were between 6.98 ppb and 26.3 ppb and of dieldrin between 82.00 and 314.18 ppb. We found three severe cases, aged from 21 to 35 years, two attempted suicides and one occupational case. Two of these patients died and one of them presented hypothermia, coma, absence of reflexes and generalized convulsions, and another presented abdominal pain, paleness, sweating, cold extremities, dyspnea, hyperthermia and generalized convulsions. In the first one that died the serum levels were: of aldrin 30.00 ppb and of dieldrin 720 ppb. In the other levels of 747.3 ppb of aldrin and 1,314.00 ppb of dieldrin were found. The third had less serious symptoms and presented serum levels of aldrin of 31.05 ppb and of dieldrin 147.11 ppb.(ABSTRACT TRUNCATED AT 250 WORDS)
为了将临床发现与艾氏剂的血清水平相关联,16名患者在被该药剂急性中毒后接受了随访。其中8人,男女皆有,年龄从1岁到37岁,没有症状或症状较轻(有些不适和恶心)。这些患者中的一名血清中发现含有16.6 ppb的艾氏剂,另一名含有1.41 ppb的狄氏剂。一组5名患者,年龄从2岁到30岁,表现出中度严重症状,报告有恶心、呕吐、嗜睡、呼吸困难、出汗、轻度抽搐、血压升高和惊厥。在这些病例中,2例为意外中毒,3例为自杀未遂,大多数在24小时内完全康复。艾氏剂的血清水平在6.98 ppb至26.3 ppb之间,狄氏剂在82.00至314.18 ppb之间。我们发现了3例严重病例,年龄从21岁到35岁,2例自杀未遂,1例职业中毒病例。其中2名患者死亡,其中一名出现体温过低、昏迷、无反射和全身性惊厥,另一名出现腹痛、面色苍白、出汗、四肢冰冷、呼吸困难、体温过高和全身性惊厥。第一名死亡患者的血清水平为:艾氏剂30.00 ppb,狄氏剂720 ppb。在另一名患者中发现艾氏剂水平为747.3 ppb,狄氏剂水平为1314.00 ppb。第三名患者症状较轻,艾氏剂血清水平为31.05 ppb,狄氏剂为147.11 ppb。(摘要截取自250字)