Dr Fahima Akter Dowel, Assistant Professor & SMO, INMAS, Mymensingh, Bangladesh; E-mail:
Mymensingh Med J. 2022 Jul;31(3):869-871.
Poisoning by paraquat herbicide now a days is a major medical problem in many parts of Asia as well as in Bangladesh. Already it has been banned in the European Union and some other countries for several years. Paraquat is highly toxic if ingested, with clinical features including oral burns, sore throat, vomiting and diarrhoea, progressing to pneumonitis, pulmonary fibrosis and multi-organ failure. Recently we dealt with many cases of paraquat poisoning in Mymensingh Medical College Hospital and here we report one case. A 19 years old student intentionally ingested 10 ml of paraquat herbicide and presented with multi organ failure. His renal function was supported with 4 session's hemodialysis and regain normal renal function. But he also developed Acute Lung Injury (ALI) and liver dysfunction, was supported with ionotropic and invasive ventilation and couldn't save. On 14th day of poisoning he died.
如今,百草枯除草剂中毒在亚洲许多地区以及孟加拉国都成为了一个主要的医学问题。它已经在欧盟和其他一些国家被禁止使用多年。百草枯如果被摄入,毒性非常高,临床特征包括口腔灼伤、喉咙痛、呕吐和腹泻,进而发展为肺炎、肺纤维化和多器官衰竭。最近,我们在迈门辛医科大学医院处理了许多百草枯中毒的病例,在这里我们报告一例。一名 19 岁的学生故意摄入了 10 毫升的百草枯除草剂,出现多器官衰竭。他的肾功能通过 4 次血液透析得到支持,并恢复了正常的肾功能。但他也出现了急性肺损伤(ALI)和肝功能障碍,通过使用有创和正压通气进行支持,但最终无法挽救。在中毒的第 14 天,他去世了。