误食东北天南星后出现口咽气道梗阻。
Oropharyngeal airway obstruction after the accidental ingestion of Arisaema amurense.
作者信息
Ryoo Seung Mok, Sohn Chang Hwan, Oh Bum Jin, Kim Won Young, Lim Kyoung Soo, Lee Christopher C
机构信息
Department of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
出版信息
J Emerg Med. 2013 Sep;45(3):352-4. doi: 10.1016/j.jemermed.2013.01.029. Epub 2013 Apr 30.
BACKGROUND
Arisaema amurense is widely known in Korean folklore as a poisonous plant, and its lethal toxicity has long been recognized. The toxicity of Arisaema amurense is due to its content of calcium oxalate, which causes painful oropharyngeal edema, hypersalivation, aphonia, oral ulceration, esophageal erosion, and hypocalcemia.
OBJECTIVE
We report a case of accidental poisoning after ingestion of the rhizome of Arisaema amurense, resulting in airway obstruction that required endotracheal intubation.
CASE REPORT
A 60-year-old man developed oral pain and swelling after accidentally ingesting a rhizome from the Arisaema amurense plant as a medicinal herb. His symptoms worsened upon his arrival in the Emergency Department, and he was unable to speak due to oral swelling and hypersalivation. The patient underwent endotracheal intubation to protect his airway and was treated with antihistamines and corticosteroids. Three days after treatment, he had improved and was extubated.
CONCLUSION
We describe an emergent treatment course for a patient with acute airway obstruction resulting from the ingestion of Arisaema amurense.
背景
东北天南星在韩国民间广为人知是一种有毒植物，其致命毒性早已被认识。东北天南星的毒性归因于其所含的草酸钙，草酸钙会导致口咽疼痛性水肿、唾液分泌过多、失声、口腔溃疡、食管糜烂和低钙血症。
目的
我们报告一例因误食东北天南星根茎导致意外中毒，进而引发气道梗阻并需要气管插管的病例。
病例报告
一名60岁男性误将东北天南星植物的根茎作为草药食用后，出现口腔疼痛和肿胀。他到达急诊科后症状加重，由于口腔肿胀和唾液分泌过多而无法说话。患者接受了气管插管以保护气道，并接受了抗组胺药和皮质类固醇治疗。治疗三天后，他病情好转并拔管。
结论
我们描述了一名因误食东北天南星导致急性气道梗阻患者的紧急治疗过程。
Zotero 插件