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颠茄中毒:一例报告。

Atropa belladonna intoxication: a case report.

作者信息

Berdai Mohamed Adnane, Labib Smael, Chetouani Khadija, Harandou Mustapha

机构信息

Intensive Care Unit, Mother and Child Hospital, University Hospital Hassan II, Fes, Morrocco.

出版信息

Pan Afr Med J. 2012;11:72. Epub 2012 Apr 17.

Abstract

Atropa belladonna is a poisonous plant also called deadly nightshade. Its roots, leaves and fruits contain alkaloids: atropine, hyocyamine and scopolamine. The risk of poisoning in children is important because of possible confusion with other berries. Atropa belladonna acute intoxication is a severe condition, it's should be considered in the presence of anti-cholinergic toxidrome, the differential diagnosis include other plants or psychoactive drugs containing atropine. The treatment is mainly symptomatic including gastrointestinal decontamination with activated charcoal. In severe cases, physostigmine can be used as an antidote. We report the case of 11 year old girl with Atropa belladonna poisoning which was administrated in a therapeutic purpose as a remedy to jaundice. The child presented essentially a central anti-cholinergic syndrome. She was admitted in the intensive care unit, the progression was favorable with symptomatic treatment.

摘要

颠茄是一种有毒植物,也被称为致命的茄属植物。它的根、叶和果实含有生物碱:阿托品、莨菪碱和东莨菪碱。由于可能与其他浆果混淆,儿童中毒的风险很大。颠茄急性中毒是一种严重情况,在出现抗胆碱能中毒综合征时应予以考虑,鉴别诊断包括其他含阿托品的植物或精神活性药物。治疗主要是对症治疗,包括用活性炭进行胃肠道去污。在严重情况下,毒扁豆碱可用作解毒剂。我们报告了一名11岁女孩因治疗黄疸而服用颠茄中毒的病例。该患儿主要表现为中枢抗胆碱能综合征。她被收入重症监护病房,经对症治疗后病情好转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27a4/3361210/87dc9c14efbb/PAMJ-11-72-g001.jpg

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