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与摄入液体餐具洗涤剂相关的意外儿童猝死。

Sudden unexpected child death associated with ingestion of fluid dish detergent.

作者信息

Högberg J, Rajs J

出版信息

Z Rechtsmed. 1982;89(1):51-5. doi: 10.1007/BF00205000.

DOI:10.1007/BF00205000
PMID:7124134
Abstract

A case of sudden unexpected death of a 13-month-old child is reported. The immediate cause of death was aspiration of stomach contents. The autopsy and microscopical examinations revealed cerebral oedema, organ congestion and an increased number of neutrophils in germinal centres of mesenterial lymph nodes and spleen. The finding of ethanol and methanol (5.2 and 0.1%) and of significant amounts f a surface-active agent (linear alkyl benzene sulphonate) in the stomach contents indicated consumption of a fluid dish detergent prior to death. The blood ethanol concentration was below 0.1% and urine ethanol and methanol concentrations were 0.28% and 0.04%. The possibility that ethanol-containing detergents may trigger hypoglycemic attacks is discussed.

摘要

报告了一例13个月大儿童突然意外死亡的病例。直接死因是胃内容物吸入。尸检和显微镜检查显示脑水肿、器官充血以及肠系膜淋巴结和脾脏生发中心中性粒细胞数量增加。胃内容物中发现乙醇和甲醇(分别为5.2%和0.1%)以及大量表面活性剂(直链烷基苯磺酸盐)表明其在死亡前饮用了液体餐具洗涤剂。血液乙醇浓度低于0.1%,尿液中乙醇和甲醇浓度分别为0.28%和0.04%。文中讨论了含乙醇洗涤剂可能引发低血糖发作的可能性。

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本文引用的文献

1
Biotin and the sudden infant death syndrome.生物素与婴儿猝死综合征
Nature. 1980 May 15;285(5761):159-60. doi: 10.1038/285159a0.
2
Tabulations of 1977 case reports.1977年病例报告列表。
Bull Natl Clgh Poison Control Cent. 1980 Apr;24(4):1-20.
3
[Alcohol intoxication of children (author's transl)].儿童酒精中毒(作者译)
Z Rechtsmed. 1981;86(4):269-76. doi: 10.1007/BF00200669.
4
Inhibition of hepatic gluconeogenesis by ethanol.乙醇对肝脏糖异生的抑制作用。
Biochem J. 1969 Mar;112(1):117-24. doi: 10.1042/bj1120117.
5
Drugs, diseases and altered gastric emptying.药物、疾病与胃排空改变
Clin Pharmacokinet. 1976;1(3):189-203. doi: 10.2165/00003088-197601030-00002.
6
Distinctive effects of glucagon on gluconeogenesis and ketogenesis in hepatocytes isolated from normal and biotin-deficient rats.胰高血糖素对从正常和生物素缺乏大鼠分离的肝细胞中糖异生和生酮作用的独特影响。
Biochem J. 1978 Jun 15;172(3):517-21. doi: 10.1042/bj1720517.
7
Review of the toxicity of household products: ingestion of household cleaning and washing products.家用产品毒性综述:家用清洁和洗涤产品的摄入情况
Vet Hum Toxicol. 1979;21 Suppl:40-2.
8
Outcome of accidental ingestions of soaps, detergents, and related household products.肥皂、洗涤剂及相关家用产品意外摄入的后果。
Vet Hum Toxicol. 1979;21 Suppl:31-2.
9
Two infant deaths after inhaling baby powder.两名婴儿吸入爽身粉后死亡。
Chest. 1979 Apr;75(4):448-50. doi: 10.1378/chest.75.4.448.