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难以下咽的苦果:一例洋地黄意外中毒病例

Bitter pill to swallow: a case of accidental poisoning with digitalis purpurea.

作者信息

Mitchell Andrew

机构信息

ST1 Core Medical Training, Wishaw General Hospital, Lanarkshire, Scotland.

出版信息

BMJ Case Rep. 2010 Oct 21;2010:bcr0120102633. doi: 10.1136/bcr.01.2010.2633.

DOI:10.1136/bcr.01.2010.2633
PMID:22791473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3028134/
Abstract

While digitoxicity secondary to therapeutic use is frequent, due to its distinctive appearance and unpleasant taste accidental ingestion of digitalis purpurea (foxglove) is uncommon. This report relates the case of two previously healthy individuals who inadvertently consumed significant quantities of digitalis in its plant form. Both men presented in first-degree atrioventricular block and had digoxin levels of 4.9 μg/litre, but were otherwise stable and made unremarkable recoveries with repeated dose activated charcoal.

摘要

虽然治疗用途引起的洋地黄中毒很常见,但由于洋地黄独特的外观和难闻的味道,意外摄入毛地黄(毛地黄)并不常见。本报告讲述了两名原本健康的个体意外大量食用植物形式洋地黄的病例。两名男性均出现一度房室传导阻滞,地高辛水平为4.9微克/升,但除此之外情况稳定,通过重复剂量活性炭治疗后恢复良好。

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[Not Available].[无可用内容]。
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Poisonous or non-poisonous plants? DNA-based tools and applications for accurate identification.有毒植物还是无毒植物?基于DNA的准确鉴定工具及应用
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本文引用的文献

1
An outbreak of foxglove leaf poisoning.毛地黄叶中毒爆发。
J Chin Med Assoc. 2010 Feb;73(2):97-100. doi: 10.1016/S1726-4901(10)70009-5.
2
ECG for physicians: a potentially fatal case of mistaken identity.医生的心电图检查:一例身份误认的潜在致命病例。
Resuscitation. 2008 Mar;76(3):323-4. doi: 10.1016/j.resuscitation.2007.09.001. Epub 2007 Oct 31.
3
Three very unwise men.三个非常愚蠢的人。
BMJ. 1999 Jun 26;318(7200):1729. doi: 10.1136/bmj.318.7200.1729.
4
Recognition and management of digitalis toxicity.洋地黄中毒的识别与处理
Am J Cardiol. 1992 Jun 4;69(18):108G-118G; disc. 118G-119G. doi: 10.1016/0002-9149(92)91259-7.