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有机磷中毒阿托品治疗后罕见并发症——中毒性巨结肠:一例报告

Toxic megacolon as a rare complication following atropine therapy due to organophosphate poisoning: A case report.

作者信息

Mostafazadeh Babak, Farzaneh Esmaeil, Paeezi Maryam, Nikkhah Farahnaz

机构信息

1 Department of Forensic Medicine and Toxicology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Department of Forensic Medicine and Toxicology, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

Med Leg J. 2017 Dec;85(4):221-223. doi: 10.1177/0025817217703520. Epub 2017 Apr 13.

Abstract

The main therapeutic basis for a case of organophosphate poisoning is a combination therapy which includes atropine as an anticholinergic drug and pralidoxime. If the poisoning is severe, a high dose of this combination of medicines may be needed, but this may cause serious side effects: paralytic ileus or even megacolon; however, these gastrointestinal events are very rare. Here, we report a case of organophosphate poisoning where atropine therapy was given and led to drug-associated toxic megacolon.

摘要

有机磷中毒病例的主要治疗基础是联合治疗,其中包括使用抗胆碱能药物阿托品和氯解磷定。如果中毒严重,可能需要高剂量的这种药物组合,但这可能会导致严重的副作用:麻痹性肠梗阻甚至巨结肠;然而,这些胃肠道事件非常罕见。在此,我们报告一例有机磷中毒病例,该病例接受了阿托品治疗并导致药物相关性中毒性巨结肠。

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