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百草枯中毒患者的急性肾损伤:一例报告并文献复习

Acute kidney injury in patients with paraquat intoxication; a case report and review of the literature.

作者信息

Safaei Asl Afshin, Dadashzadeh Peyman

机构信息

Division of Nephrology, Department of Pediatrics, Guilan University of Medical Sciences, Rasht, Iran.

Resident of Pediatrics , Guilan University of Medical Sciences, Rasht, Iran.

出版信息

J Renal Inj Prev. 2016 Aug 3;5(4):203-6. doi: 10.15171/jrip.2016.43. eCollection 2016.

DOI:10.15171/jrip.2016.43
PMID:27689124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5039990/
Abstract

Paraquat and diquat are classified as bipyridyl compounds not only leads to acute organ damage, but also to a variety of complications. Patients with severe paraquat-induced poisoning may succumb to multiple organ failure involving the circulatory and respiratory systems. Deliberate self-poisoning with paraquat continues to be a major public health concern in many developing countries. At present there is no specific antidote to paraquat poisoning, hence the need to more focus on prevention and in cases of poisoning aggressive decontamination to prevent further absorption. This article presented a 12-year-old male with acute kidney injury following the ingestion of paraquat in suicidal attempt and serves to explore the complications associated with paraquat poisoning and current recommended treatment.

摘要

百草枯和敌草快属于联吡啶类化合物,不仅会导致急性器官损伤,还会引发多种并发症。百草枯中毒严重的患者可能会死于涉及循环和呼吸系统的多器官功能衰竭。在许多发展中国家,故意自服百草枯中毒仍然是一个重大的公共卫生问题。目前尚无针对百草枯中毒的特效解毒剂,因此需要更加注重预防,对于中毒病例要积极进行去污处理以防止进一步吸收。本文介绍了一名12岁男性因自杀性吞服百草枯后出现急性肾损伤的病例,并探讨了与百草枯中毒相关的并发症及当前推荐的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/82123d910c0f/jrip-5-203-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/0a95ed834746/jrip-5-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/ab3808a86799/jrip-5-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/82123d910c0f/jrip-5-203-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/0a95ed834746/jrip-5-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/ab3808a86799/jrip-5-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36d3/5039990/82123d910c0f/jrip-5-203-g003.jpg

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An ecological study regarding the association between paraquat exposure and end stage renal disease.

本文引用的文献

1
Mechanisms underlying early rapid increases in creatinine in paraquat poisoning.百草枯中毒时肌酐早期快速升高的潜在机制。
PLoS One. 2015 Mar 27;10(3):e0122357. doi: 10.1371/journal.pone.0122357. eCollection 2015.
2
A case report of acute severe paraquat poisoning and long-term follow-up.急性重度百草枯中毒病例报告及长期随访
Exp Ther Med. 2014 Jul;8(1):233-236. doi: 10.3892/etm.2014.1727. Epub 2014 May 20.
3
Tissue concentration of paraquat on day 32 after intoxication and failed bridge to transplantation by extracorporeal membrane oxygenation therapy.
一项关于百草枯暴露与终末期肾病之间关联的生态学研究。
Environ Health. 2022 Dec 12;21(1):127. doi: 10.1186/s12940-022-00946-9.
4
aqueous leaf extract ameliorates paraquat-induced kidney injury by regulating NADPH oxidase in rats.水提叶提取物通过调节大鼠体内的NADPH氧化酶改善百草枯诱导的肾损伤。
Heliyon. 2022 Apr 1;8(4):e09234. doi: 10.1016/j.heliyon.2022.e09234. eCollection 2022 Apr.
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Effects of Acute Diquat Poisoning on Liver Mitochondrial Apoptosis and Autophagy in Ducks.急性敌草快中毒对鸭肝脏线粒体凋亡和自噬的影响
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中毒第 32 天,体外膜肺氧合治疗桥接失败后组织中百草枯浓度。
BMC Pharmacol Toxicol. 2013 Sep 6;14:45. doi: 10.1186/2050-6511-14-45.
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Sequential organ failure assessment score can predict mortality in patients with paraquat intoxication.序贯性器官衰竭评估评分可预测百草枯中毒患者的死亡率。
PLoS One. 2012;7(12):e51743. doi: 10.1371/journal.pone.0051743. Epub 2012 Dec 14.
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Spectrum of toxic hepatitis following intentional paraquat ingestion: analysis of 187 cases.百草枯中毒性肝炎谱:187 例分析。
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6
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8
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