Liu Huimin, Kan Baotian, Jian Xiangdong, Zhang Wei, Zhou Qian, Wang Jieru
Department of Poisoning and Occupational Disease, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China.
Exp Ther Med. 2013 Sep;6(3):696-698. doi: 10.3892/etm.2013.1216. Epub 2013 Jul 11.
Suicidal poisoning by ingestion of organophosphate (OP) insecticides represents a serious emergency with a high mortality rate. However, attempted suicide via the parenteral route has rarely been reported. The present study reports a case of parasuicide by self-injection of an organophosphorus insecticide (phoxim, phenylglyoxylonitrile oxime O,O-diethyl phosphorothioate) into the distal region of the left arm. The patient developed necrosis at the injection site and an abscess of the affected limb following injection. A fasciotomy and surgical debridement resulted in the symptoms of the patient disappearing within a few days and were vital in shortening the course of the disease.
经口摄入有机磷（OP）杀虫剂导致的自杀性中毒是一种死亡率很高的严重急症。然而，经非肠道途径自杀未遂的情况鲜有报道。本研究报告了一例通过自注有机磷杀虫剂（辛硫磷，苯乙腈肟O，O - 二乙基硫代磷酸酯）至左臂远端区域进行准自杀的病例。患者注射后注射部位出现坏死以及患肢出现脓肿。切开筋膜减压术和外科清创术使患者症状在数天内消失，对缩短病程至关重要。
