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急性无机汞中毒的血液透析与活性炭血液灌流

Haemodialysis and charcoal haemoperfusion in acute inorganic mercury poisoning.

作者信息

Worth D P, Davison A M, Lewins A M, Ledgerwood M J, Taylor A

出版信息

Postgrad Med J. 1984 Sep;60(707):636-8. doi: 10.1136/pgmj.60.707.636.

Abstract

A 29-year-old gardener developed acute renal failure following the ingestion of 'Mersil', a combination of mercurous and mercuric chloride, achieving a plasma mercury concentration of 22,000 nmol/litre (400 micrograms/litre). Haemodialysis and charcoal haemoperfusion were ineffective in removing mercury despite prior treatment with the chelating agent dimercaprol. The acute renal failure resolved after 10 days and there are no residual sequelae.

摘要

一名29岁的园丁在摄入“Mersil”(一种氯化亚汞和氯化汞的混合物)后发生急性肾衰竭,血浆汞浓度达到22,000纳摩尔/升(400微克/升)。尽管之前使用螯合剂二巯丙醇进行了治疗,但血液透析和活性炭血液灌流在清除汞方面均无效。急性肾衰竭在10天后得到缓解,且无残留后遗症。

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本文引用的文献

2
A case of accidental inorganic mercury poisoning.
J Anal Toxicol. 1982 May-Jun;6(3):120-2. doi: 10.1093/jat/6.3.120.
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Severe acute poisoning from the ingestion of a permanent wave solution of mercuric chloride.
Hum Toxicol. 1983 Apr;2(2):243-6. doi: 10.1177/096032718300200212.
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Toxicology. 1976 Aug-Sep;6(2):155-9. doi: 10.1016/0300-483x(76)90017-2.
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Mercury and mercurials.汞及汞制剂
Br Med Bull. 1975 Sep;31(3):241-5. doi: 10.1093/oxfordjournals.bmb.a071293.

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