Bernoulli R, Engelhart G, Velvart J
Schweiz Med Wochenschr. 1978 Jun 10;108(23):866-8.
Despite worldwide use of organic isocyanates and methylene chloride, little is known of oral intoxication with these substances in human beings. Two suicide attempts and their subsequent clinical course are reported. Coma, shock, relative bradycardia, leukocytosis and metabolic acidosis were ascribed to the effect of methylene chloride. The causes of the necrosis in the gastro-intestinal tract (as demonstrated endoscopically and histologically) of hemolysis and of intravascular clotting are discussed. The prognosis is good after survival of the acute phase. Untoward reactions in cases of pregnancy have not been observed.
尽管有机异氰酸酯和二氯甲烷在全球范围内都有使用,但关于人类因这些物质导致口服中毒的情况却知之甚少。本文报告了两起自杀未遂事件及其后续的临床过程。昏迷、休克、相对心动过缓、白细胞增多和代谢性酸中毒被归因于二氯甲烷的作用。文中讨论了胃肠道坏死(经内镜和组织学证实)、溶血和血管内凝血的成因。急性期存活后的预后良好。未观察到妊娠期间出现不良反应。