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儿童植物毒素与急性药用植物中毒:一项系统文献综述

Plant toxins and acute medicinal plant poisoning in children: A systematic literature review.

作者信息

Ghorani-Azam Adel, Sepahi Samaneh, Riahi-Zanjani Bamdad, Alizadeh Ghamsari Anahita, Mohajeri Seyed Ahmad, Balali-Mood Mahdi

机构信息

Medical Toxicology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Targeted Drug Delivery Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Res Med Sci. 2018 Mar 27;23:26. doi: 10.4103/jrms.JRMS_629_17. eCollection 2018.

Abstract

BACKGROUND

For many years, medicinal plants and herbal therapy have been widely used in different societies for the treatment of various diseases. Besides their therapeutic potency, some of the medicinal plants have strong toxicity in human, especially in children and elderly. Despite common beliefs that natural products are safe, there have been few reports on their toxicities.

MATERIALS AND METHODS

In the present study, we aimed to systematically review the literature wherein acute plant poisoning and herbal intoxication have been reported in pediatric patients. After literature search and selection of the appropriate documents, the desired data were extracted and described qualitatively.

RESULTS

A total of 127 articles with overall 1453 intoxicated cases were collected. The results of this study showed that some medicinal plants can cause acute poisoning and complications such as hepatic and renal failure in children.

CONCLUSION

The findings of this survey showed that acute plant poisoning can be life?threatening in children, and since a single?ingested dose of toxic plants can cause acute poisoning, parents should be aware of these toxic effects and compare the side effects of self?medication with its potential benefits.

摘要

背景

多年来,药用植物和草药疗法在不同社会中被广泛用于治疗各种疾病。除了具有治疗功效外,一些药用植物对人体,尤其是儿童和老年人具有很强的毒性。尽管人们普遍认为天然产品是安全的,但关于其毒性的报道却很少。

材料与方法

在本研究中,我们旨在系统回顾有关儿科患者急性植物中毒和草药中毒的文献。在进行文献检索并选择合适的文献后,提取所需数据并进行定性描述。

结果

共收集到127篇文章,涉及1453例中毒病例。本研究结果表明,一些药用植物可导致儿童急性中毒及肝肾功能衰竭等并发症。

结论

本次调查结果表明,急性植物中毒对儿童可能危及生命,由于单次摄入有毒植物剂量即可导致急性中毒,家长应了解这些毒性作用,并权衡自我用药的副作用及其潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f3/5894275/f3d76914da14/JRMS-23-26-g001.jpg

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