院外急救中食用苦杏仁苷导致有生命威胁的氰化物中毒。
Life-Threatening Cyanide Intoxication after Ingestion of Amygdalin in Prehospital Care.
出版信息
Prehosp Emerg Care. 2022 May-Jun;26(3):455-458. doi: 10.1080/10903127.2021.1924903. Epub 2021 May 25.
Abstract
Amygdalin is originally a natural cyanogenic glycoside available as a dietary supplement used in the alternative treatment of cancer patients. Amygdalin hydroxylates to toxic cyanide in the body, which can cause life-threatening intoxication. The case report presents a 72-year-old patient with life-threatening cyanide poisoning after ingesting a dietary supplement containing amygdalin identified in prehospital care, which was successfully treated with hydroxocobalamin.
摘要
苦杏仁苷原本是一种天然的氰苷，可用作膳食补充剂，用于癌症患者的替代治疗。苦杏仁苷在体内羟化生成有毒的氰化物，可导致危及生命的中毒。本病例报告介绍了一名 72 岁患者，在摄入一种含有苦杏仁苷的膳食补充剂后发生危及生命的氰化物中毒，在院前救护中确定该补充剂含有苦杏仁苷，经羟钴胺治疗后成功救治。
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