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人类过量服用兽用镇静剂赛拉嗪。

Human overdose with the veterinary tranquilizer xylazine.

作者信息

Spoerke D G, Hall A H, Grimes M J, Honea B N, Rumack B H

出版信息

Am J Emerg Med. 1986 May;4(3):222-4. doi: 10.1016/0735-6757(86)90070-7.

DOI:10.1016/0735-6757(86)90070-7
PMID:3964361
Abstract

Three patients self-injected the veterinary tranquilizing agent xylazine (Rompun). The first patient developed mild bradycardia and hypotension, miosis, and a feeling of disorientation. The other two patients became apneic and required intubation and mechanical ventilation. Initial mild hypertension followed by mild hypotension and a mildly elevated blood glucose was seen in the second patient, whereas both the second and third patients developed mild bradycardia. Xylazine has structural similarity to the phenothiazines and pharmacological activity similar to clonidine. With increasing veterinary use, the availability and potential for human exposures may also increase.

摘要

三名患者自行注射了兽用镇静剂赛拉嗪(隆朋)。第一名患者出现轻度心动过缓和低血压、瞳孔缩小以及定向障碍感。另外两名患者出现呼吸暂停,需要插管和机械通气。第二名患者最初出现轻度高血压,随后出现轻度低血压和血糖轻度升高,而第二名和第三名患者均出现轻度心动过缓。赛拉嗪与吩噻嗪类药物结构相似,药理活性与可乐定相似。随着兽用范围的扩大,人类接触赛拉嗪的可能性和潜在风险也可能增加。

相似文献

1
Human overdose with the veterinary tranquilizer xylazine.人类过量服用兽用镇静剂赛拉嗪。
Am J Emerg Med. 1986 May;4(3):222-4. doi: 10.1016/0735-6757(86)90070-7.
2
Human xylazine overdose: a comparative review with clonidine, phenothiazines, and tricyclic antidepressants.人类赛拉嗪过量:与可乐定、吩噻嗪类药物和三环类抗抑郁药的比较性综述
Clin Toxicol. 1981 Jun;18(6):663-78. doi: 10.3109/15563658108990293.
3
Severe intoxication with the veterinary tranquilizer xylazine in humans.人类因兽用镇静剂赛拉嗪而发生的严重中毒。
J Anal Toxicol. 2001 May-Jun;25(4):245-9. doi: 10.1093/jat/25.4.245.
4
Xylazine hydrochloridine (Rompun) overdose in man.
Clin Toxicol. 1979 Oct;15(3):281-5. doi: 10.3109/15563657908989878.
5
Accidental self administration of xylazine in a veterinary nurse.一名兽医护士意外自行服用赛拉嗪。
Postgrad Med J. 1990 Mar;66(773):244-5. doi: 10.1136/pgmj.66.773.244.
6
Clinical manifestations of overdose of ketamine-xylazine in the cat.
Nord Vet Med. 1979 Apr;31(4):155-61.
7
Drug abuse with inhalated xylazine.
Eur J Emerg Med. 2003 Sep;10(3):252-3. doi: 10.1097/00063110-200309000-00022.
8
Systemic toxicity after an ocular exposure to xylazine hydrochloride.眼部接触盐酸赛拉嗪后的全身毒性。
J Emerg Med. 2006 May;30(4):407-10. doi: 10.1016/j.jemermed.2006.02.042.
9
Cardiopulmonary effects of xylazine in dogs.
Am J Vet Res. 1975 Jul;36(7):931-5.
10
Xylazine/sodium thiopental combination for short-term anesthesia in the horse.甲苯噻嗪/硫喷妥钠组合用于马的短期麻醉
Vet Med Small Anim Clin. 1980 May;75(5):765-70.

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Xylazine exacerbates fentanyl-induced respiratory depression and prevents rescue by naloxone in mice.赛拉嗪会加重芬太尼诱导的小鼠呼吸抑制,并阻止纳洛酮的抢救作用。
bioRxiv. 2025 Jun 24:2025.06.18.660459. doi: 10.1101/2025.06.18.660459.
2
Individual differences in behavioral effects of xylazine and opioid-xylazine mixtures in male rats.甲苯噻嗪及阿片类-甲苯噻嗪混合物对雄性大鼠行为影响的个体差异。
bioRxiv. 2025 Jun 27:2025.06.25.661558. doi: 10.1101/2025.06.25.661558.
3
Community-based drug checking at syringe service programs in New York City observe an increasing prevalence of xylazine from 2021 through 2024.
纽约市注射器服务项目中基于社区的药物检测发现,从2021年到2024年,赛拉嗪的流行率呈上升趋势。
Harm Reduct J. 2025 Jun 7;22(1):99. doi: 10.1186/s12954-025-01237-5.
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Xylazine is an agonist at kappa opioid receptors and exhibits sex-specific responses to opioid antagonism.赛拉嗪是一种κ阿片受体激动剂,对阿片类拮抗作用表现出性别特异性反应。
Addict Neurosci. 2024 Jun;11. doi: 10.1016/j.addicn.2024.100155. Epub 2024 May 3.
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Xylazine Poisoning in Clinical and Forensic Practice: Analysis Method, Characteristics, Mechanism and Future Challenges.临床与法医学实践中的赛拉嗪中毒:分析方法、特征、机制及未来挑战
Toxics. 2023 Dec 11;11(12):1012. doi: 10.3390/toxics11121012.
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Xylazine Use in Pregnancy: The Effects of the Fentanyl Adulterant Xylazine on Pregnant Patients and the Developing Fetus.孕期使用赛拉嗪:掺假芬太尼的赛拉嗪对孕妇及发育中胎儿的影响。
Kans J Med. 2023 Oct 30;16(3):277-279. doi: 10.17161/kjm.vol16.20624. eCollection 2023.
7
A case series of accidental xylazine intoxication in humans; Is there a role of naloxone as an antidote?人类意外西拉嗪中毒的病例系列;纳洛酮作为解毒剂有作用吗?
Turk J Emerg Med. 2023 Jan 2;23(2):119-122. doi: 10.4103/tjem.tjem_198_22. eCollection 2023 Apr-Jun.
8
Opioid overdoses involving xylazine in emergency department patients: a multicenter study.急诊科阿片类药物过量涉及苯环己哌啶:一项多中心研究。
Clin Toxicol (Phila). 2023 Mar;61(3):173-180. doi: 10.1080/15563650.2022.2159427.
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Xylazine in the Opioid Epidemic: A Systematic Review of Case Reports and Clinical Implications.阿片类药物流行中的赛拉嗪:病例报告及临床意义的系统评价
Cureus. 2023 Mar 29;15(3):e36864. doi: 10.7759/cureus.36864. eCollection 2023 Mar.
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Self-reported Xylazine Experiences: A Mixed Methods Study of Reddit Subscribers.自我报告的赛拉嗪经历:对Reddit用户的混合方法研究
medRxiv. 2023 Mar 14:2023.03.13.23287215. doi: 10.1101/2023.03.13.23287215.