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东莨菪碱中毒

Scopolamine intoxications.

作者信息

Lauwers L F, Daelemans R, Baute L, Verbraeken H

出版信息

Intensive Care Med. 1983;9(5):283-5. doi: 10.1007/BF01691256.

DOI:10.1007/BF01691256
PMID:6619397
Abstract

Pure scopolamine intoxications are extremely rare. We treated a series of severe intoxications exclusively caused by scopolamine and due to the intentional mixing of pure scopolamine into drinks. The clinical course and therapy are reported. On the basis of our experience and a survey of literature, we found physostigmine to be an excellent antidote. The symptomatology of the patients confirms that scopolamine has a dose-related stimulant effect on the central nervous system.

摘要

单纯东莨菪碱中毒极为罕见。我们治疗了一系列由东莨菪碱单独引起的严重中毒病例,这些中毒是由于有人故意将纯东莨菪碱混入饮品中所致。本文报告了其临床过程及治疗方法。基于我们的经验和文献调研,我们发现毒扁豆碱是一种极佳的解毒剂。患者的症状表明,东莨菪碱对中枢神经系统具有剂量相关的兴奋作用。

相似文献

1
Scopolamine intoxications.东莨菪碱中毒
Intensive Care Med. 1983;9(5):283-5. doi: 10.1007/BF01691256.
2
Reversal of systemic toxic effects of scopolamine with physostigmine salicylate.水杨酸毒扁豆碱逆转东莨菪碱的全身毒性作用。
Am J Ophthalmol. 1971 Dec;72(6):1136-8. doi: 10.1016/0002-9394(71)91221-9.
3
[Analytical investigation of a suspected case of drug-facilitated crime].[一起疑似药物协助犯罪案件的分析调查]
Lakartidningen. 2019 Sep 25;116:FSSW.
4
Galanthamine hydrobromide, a longer acting anticholinesterase drug, in the treatment of the central effects of scopolamine (Hyoscine).氢溴酸加兰他敏,一种作用时间较长的抗胆碱酯酶药物,用于治疗东莨菪碱(海洛因)的中枢效应。 (需注意,这里原文中的“Hyoscine”翻译为“海洛因”有误,应该是“东莨菪碱”)
Anaesthesist. 1977 Dec;26(12):649-50.
5
Physostigmine reversal of scopolamine-induced hypofrontality.毒扁豆碱对东莨菪碱诱导的额叶功能减退的逆转作用。
J Cereb Blood Flow Metab. 1997 Feb;17(2):220-8. doi: 10.1097/00004647-199702000-00012.
6
Scopolamine-induced learning impairment reversed by physostigmine in zebrafish.东莨菪碱诱导的斑马鱼学习障碍可被毒扁豆碱逆转。
Neurosci Res. 2010 Jun;67(2):156-61. doi: 10.1016/j.neures.2010.03.003. Epub 2010 Mar 16.
7
Acute scopolamine poisoning after sniffing adulterated cocaine.
Drug Alcohol Depend. 1991 Mar;27(2):115-6. doi: 10.1016/0376-8716(91)90028-w.
8
The treatment of scopolamine-induced delirium with physostigmine.用毒扁豆碱治疗东莨菪碱引起的谵妄。
Clin Pharmacol Ther. 1967 May-Jun;8(3):409-14. doi: 10.1002/cpt196783409.
9
[Therapy of the anticholinergic syndrome in poisonings].[中毒时抗胆碱能综合征的治疗]
Z Gesamte Inn Med. 1987 Apr 1;42(7):187-90.
10
Transdermal scopolamine-induced psychosis.透皮东莨菪碱诱发的精神病。
Postgrad Med. 1988 Sep 1;84(3):73-6. doi: 10.1080/00325481.1988.11700397.

引用本文的文献

1
Acute onset psychosis with complex neurobehavioural symptomatology following the intramuscular injection of hyoscine butylbromide: a case report with an overview of the literature.肌注氢溴酸东莨菪碱后出现急性起病的精神病性障碍伴复杂神经行为症状:病例报告及文献复习
Eur J Hosp Pharm. 2022 Sep;29(5):294-297. doi: 10.1136/ejhpharm-2020-002583. Epub 2020 Dec 29.
2
Anticholinergic syndrome following an unintentional overdose of scopolamine.东莨菪碱意外过量致抗胆碱能综合征
Ther Clin Risk Manag. 2009 Oct;5(5):719-23. doi: 10.2147/tcrm.s6732. Epub 2009 Sep 15.
3
Widespread hyoscine hydrobromide toxicity due to contract manufacturer malpractice : the travacalm episode.

本文引用的文献

1
Atropine, scopolamine, and related compounds.阿托品、东莨菪碱及相关化合物。
Anesthesiology. 1962 May-Jun;23:365-83. doi: 10.1097/00000542-196205000-00012.
2
The treatment of scopolamine-induced delirium with physostigmine.用毒扁豆碱治疗东莨菪碱引起的谵妄。
Clin Pharmacol Ther. 1967 May-Jun;8(3):409-14. doi: 10.1002/cpt196783409.
3
Reversal of central anticholinergic syndrome in man by physostigmine.
JAMA. 1968 Nov 25;206(9):1963-5.
因合同制造商违规操作导致的广泛的氢溴酸东莨菪碱中毒事件:曲美托嗪事件
Drug Saf. 2007;30(5):375-8. doi: 10.2165/00002018-200730050-00002.
4
The reversal of anticholinergic drug-induced delirium and coma with physostigmine.
Am J Psychiatry. 1971 Feb;127(8):1050-4. doi: 10.1176/ajp.127.8.1050.
5
Stramonium intoxication: review of symptomatology in 212 cases.曼陀罗中毒:212例症状学回顾
JAMA. 1972 Aug 7;221(6):585-7. doi: 10.1001/jama.221.6.585.
6
Reversal of postoperative reactions to scopolamine with physostigmine.用毒扁豆碱逆转术后对东莨菪碱的反应。
Anesth Analg. 1973 Nov-Dec;52(6):921-5.
7
Scopolamine intoxication from nonprescription sleeping pill.非处方安眠药导致的东莨菪碱中毒
N Y State J Med. 1972 Mar 15;72(6):725-6.
8
A nonfatal case of intentional scopolamine poisoning.一例故意使用东莨菪碱中毒的非致命病例。
Clin Toxicol. 1974;7(5):509-12. doi: 10.3109/15563657408988023.
9
Identification and treatment of acute psychotic states secondary to the usage of over-the-counter sleeping preparations.非处方睡眠制剂使用继发的急性精神状态的识别与治疗
Am J Psychiatry. 1972 Apr;128(10):1244-8. doi: 10.1176/ajp.128.10.1244.
10
Anticholinergic poisoning: treatment with physostigmine.抗胆碱能中毒:用毒扁豆碱治疗。
Pediatrics. 1973 Sep;52(3):449-51.