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一例有机磷中毒合并中间综合征及急性胰腺炎——一种罕见的并发症。

A case of organophosphate poisoning with intermediate syndrome and acute pancreatitis - A rare complication.

作者信息

Kaeley Nidhi, Vempalli Nagasubramanyam, Bhardwaj Bharat B, Samal Biswaranjan

机构信息

Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

J Family Med Prim Care. 2021 Jan;10(1):564-566. doi: 10.4103/jfmpc.jfmpc_744_20. Epub 2021 Jan 30.

Abstract

Organophosphate (OP) poisoning is one of the serious occupational hazards worldwide and easily accessible pesticides for suicidal poisoning. It is associated with high mortality and morbidity. OP poisoning is characterized by three main syndromes - cholinergic syndrome, intermediate syndrome and syndrome of delayed polyneuropathy. Other rare complications of OP poisoning are arrhythmias, pancreatitis and hepatic dysfunction. We present 46-year-old male patient with history of OP poisoning, who developed features of intermediate syndrome and pancreatitis. The patient was immediately intubated and managed on mechanical ventilation. Patient was given symptomatic treatment and recovered completely on day 14 of illness.

摘要

有机磷中毒是全球严重的职业危害之一,也是易于获取的用于自杀性中毒的农药。它与高死亡率和高发病率相关。有机磷中毒的特征主要有三种综合征——胆碱能综合征、中间综合征和迟发性多发性神经病综合征。有机磷中毒的其他罕见并发症有心律失常、胰腺炎和肝功能障碍。我们报告一名46岁有有机磷中毒病史的男性患者,他出现了中间综合征和胰腺炎的症状。该患者立即接受插管并进行机械通气治疗。给予患者对症治疗,在发病第14天完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46cf/8132809/c1d4ee608db6/JFMPC-10-564-g001.jpg

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