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颈部注射百草枯:一例罕见的复杂病例报告。

Injection of Paraquat in the Neck: A Rare Complicated Case Report.

作者信息

Mansouri Vahid, Rostamian Alireza, Bemanalizadeh Maryam

机构信息

Department of Clinical Toxicology, School of Medicine, Noor Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2021 Oct 27;10:32. doi: 10.4103/abr.abr_236_20. eCollection 2021.

Abstract

Paraquat is a highly toxic compound and a widely used herbicide that causes serious morbidity and mortality. The most well-known route of poisoning is oral ingestion, whereas parenteral injection of paraquat is individually uncommon. We present a case who injected paraquat in his neck in an attempt to commit suicide. His general condition got worsened gradually over 3 days. He received early hemodialysis in 4 h after self-injection and then supportive treatment in intensive care unit. Early hemodialysis helped him survive, but during hospitalization, some rare complications occurred, and unfortunately, he died after 3 months. Despite the high-risk route of poisoning, the patient survived for 3 months. Our patient was protected from renal and hepatic damage may be because of early hemodialysis but suffered from central nervous system and pulmonary damage.

摘要

百草枯是一种剧毒化合物,是一种广泛使用的除草剂,可导致严重的发病和死亡。最广为人知的中毒途径是口服摄入,而经肠胃外注射百草枯的情况个别来说并不常见。我们报告一例为自杀而在颈部注射百草枯的病例。他的一般状况在3天内逐渐恶化。他在自我注射后4小时接受了早期血液透析,然后在重症监护病房接受支持治疗。早期血液透析帮助他存活下来,但在住院期间,出现了一些罕见的并发症,不幸的是,他在3个月后死亡。尽管中毒途径风险高,但患者存活了3个月。我们的患者可能由于早期血液透析而免受肾和肝损伤,但遭受了中枢神经系统和肺部损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b152/8613450/f8a5e22f9c44/ABR-10-32-g001.jpg

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