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采用人工胰腺治疗胰岛素注射所致自杀未遂。

Attempted suicide by insulin injection treated with artificial pancreas.

作者信息

Gin H, Larnaudie B, Aubertin J

出版信息

Br Med J (Clin Res Ed). 1983 Jul 23;287(6387):249-50. doi: 10.1136/bmj.287.6387.249.

DOI:10.1136/bmj.287.6387.249
PMID:6409269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1548848/
Abstract

An elderly woman with longstanding insulin dependent diabetes tried to commit suicide by injecting 400 units of insulin subcutaneously (usual total daily dose 56 units). She was admitted to hospital within the hour and treated with the aid of an artificial pancreas. This avoided the usual difficulty of the physician having to cope with rapid and substantial fluctuations in blood glucose concentrations and 67 hours after the overdose insulin was reinstituted. Using an artificial pancreas in insulin overdose is an important advance in management and may avoid the need for surgical intervention such as excising the site of injection.

摘要

一位患有长期胰岛素依赖型糖尿病的老年女性试图通过皮下注射400单位胰岛素自杀(通常每日总剂量为56单位)。她在一小时内被送往医院,并借助人工胰腺进行治疗。这避免了医生通常面临的应对血糖浓度快速大幅波动的困难,并且在过量注射胰岛素67小时后重新开始使用胰岛素。在胰岛素过量时使用人工胰腺是管理方面的一项重要进展,可能避免诸如切除注射部位等外科干预的需要。

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Attempted suicide by insulin injection treated with artificial pancreas.采用人工胰腺治疗胰岛素注射所致自杀未遂。
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引用本文的文献

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Intentional Insulin Overdose and Depression in Subjects with and Without Diabetes Mellitus: A Commentary.糖尿病患者与非糖尿病患者的故意胰岛素过量使用与抑郁症:一篇评论
Diabetes Ther. 2024 Sep;15(9):1845-1854. doi: 10.1007/s13300-024-01623-5. Epub 2024 Jul 24.
2
Characteristics of fatal insulin overdoses.致命胰岛素过量的特征。
Forensic Sci Med Pathol. 2022 Dec;18(4):429-441. doi: 10.1007/s12024-022-00511-3. Epub 2022 Aug 9.
3
Successful treatment with artificial pancreas for a patient who attempted suicide using a high-dose insulin s.c. injection.人工胰腺成功治疗一名使用大剂量皮下注射胰岛素企图自杀的患者。
Acute Med Surg. 2020 Jun 12;7(1):e518. doi: 10.1002/ams2.518. eCollection 2020 Jan-Dec.
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Deaths and paradoxes after intentional insulin overdosage.故意胰岛素过量后的死亡与悖论
Br Med J (Clin Res Ed). 1984 Jul 28;289(6439):225. doi: 10.1136/bmj.289.6439.225.

本文引用的文献

1
Enormous dose of insulin with suicidal intent.超大剂量胰岛素,有自杀意图。
Acta Med Scand. 1960 Jul 15;167:297-300. doi: 10.1111/j.0954-6820.1960.tb03550.x.
2
Suicidal insulin overdose managed by excision of insulin injection site.通过切除胰岛素注射部位治疗自杀性胰岛素过量。
Br Med J (Clin Res Ed). 1982 Aug 7;285(6339):408-9. doi: 10.1136/bmj.285.6339.408.
3
Dextrose infusion by artificial pancreas in diagnosis of insulinoma.人工胰腺输注葡萄糖在胰岛素瘤诊断中的应用
Lancet. 1982 Mar 13;1(8272):631-2. doi: 10.1016/s0140-6736(82)91798-6.
4
[Suicides and attempted suicides by insulin ingestion (apropos of a case)].[胰岛素摄入导致的自杀与自杀未遂(关于一例病例)]
Rev Lyon Med. 1970 Jan 30;19(2):49-58.