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因使用肌肉注射的维生素B6导致异烟肼中毒引起的横纹肌溶解症。

Rhabdomyolysis due to isoniazid poisoning resulting from the use of intramuscular pyridoxine.

作者信息

Eyüboğlu Tuğba, Derinöz Okşan

机构信息

Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Pediatr. 2013 May-Jun;55(3):328-30.

Abstract

Isoniazid is an effective antituberculosis drug. Isoniazid poisoning produces a characteristic clinical syndrome that occurs 30 to 120 minutes after ingestion and includes seizures, metabolic acidosis, and in severe cases, coma. Rhabdomyolysis is one of the reported complications of isoniazid poisoning, but relevant data are limited. Parenteral pyridoxine is the antidote of isoniazid. In this case, a 16-year-old male patient admitted to the Pediatric Emergency Department two hours after isoniazid poisoning. For treatment, intramuscular pyridoxine was used, but he developed serious rhabdomyolysis.

摘要

异烟肼是一种有效的抗结核药物。异烟肼中毒会产生一种特征性临床综合征,在摄入后30至120分钟出现,包括癫痫发作、代谢性酸中毒,严重时会出现昏迷。横纹肌溶解是异烟肼中毒报告的并发症之一,但相关数据有限。静脉注射维生素B6是异烟肼的解毒剂。在本病例中,一名16岁男性患者在异烟肼中毒两小时后被收入儿科急诊科。治疗时使用了肌肉注射维生素B6,但他出现了严重的横纹肌溶解。

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