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两例青少年儿童敌草快中毒病例。

Two cases of diquat poisoning in adolescent children.

作者信息

Duan Mengtao, Yang Baowang, Cheng Xiaohang, Shen Fuhui, Lu Xia, Wang Fan

机构信息

The Second Clinical Medical College of Lanzhou University, 199 Donggang West Road, Chengguan District, 730030, Lanzhou City, Gansu Province, China.

Lanzhou University Second Hospital , No.82 Cuiyingmen, Linxia Road, Chengguan District, 730030, Lanzhou City, Gansu Province, China.

出版信息

Ital J Pediatr. 2024 Apr 22;50(1):80. doi: 10.1186/s13052-024-01640-x.

Abstract

Diquat (DQ) is among the most widely used herbicides, and its intake can cause severe systemic toxicity that manifests rapidly. The resultant symptoms can cause the dysfunction of a range of tissues and organs,. As there is no specific antidote for diquat poisoning and the efficacy of extant treatments is suboptimal, physicians must acquire a more comprehensive understanding of the most effective approaches to managing affected patients. Relative few studies have been published to date focused on diquat poisoning in pediatric patients. In this report, we compare two similar cases of juvenile diquat poisoning with dynamic changes in clinical manifestations, laboratory values, and imaging results. For the first time, the difference in whether to perform blood flow perfusion and the time difference of initiation of hemoperfusion had a clear clinical difference in the subsequent effects of diquat poisoning in children with diquat poisoning. Limited evidence is available regarding the efficacy of early hemoperfusion for diquat poisoning; however, the differences in clinical outcomes articulated here highlight the benefits of early and timely hemoperfusion therapy in the treatment of DQ toxicity in children, in conjunction with primary supportive care in the management of DQ poisoning in children.

摘要

敌草快(DQ)是使用最广泛的除草剂之一,摄入后可迅速引发严重的全身毒性。由此产生的症状可导致一系列组织和器官功能障碍。由于目前尚无针对敌草快中毒的特效解毒剂,且现有治疗方法的疗效欠佳,医生必须更全面地了解治疗受影响患者的最有效方法。迄今为止,针对儿科患者敌草快中毒的研究相对较少。在本报告中,我们比较了两例相似的青少年敌草快中毒病例,观察其临床表现、实验室检查值及影像学结果的动态变化。首次发现,对于敌草快中毒儿童,是否进行血流灌注以及开始血液灌流的时间差异,在敌草快中毒的后续影响方面存在明显的临床差异。关于早期血液灌流治疗敌草快中毒的疗效,现有证据有限;然而,此处阐述的临床结果差异凸显了早期及时进行血液灌流治疗对儿童敌草快中毒的益处,同时在儿童敌草快中毒的管理中结合主要的支持性护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63b6/11034119/7769e1d5ccf8/13052_2024_1640_Fig1_HTML.jpg

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