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印度的草药与肝静脉闭塞病

Herbal medicines and veno-occlusive disease in India.

作者信息

Datta D V, Khuroo M S, Mattocks A R, Aikat B K, Chhuttani P N

出版信息

Postgrad Med J. 1978 Aug;54(634):511-5. doi: 10.1136/pgmj.54.634.511.

DOI:10.1136/pgmj.54.634.511
PMID:733681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2425287/
Abstract

Six cases are described of veno-occlusive disease (VOD) after medicinal herb ingestion. The herb Heliotropium eichwaldii, taken by three patients, was found to contain the toxic pyrrolizidine alkaloid, heliotrine. Two patients presented with fulminant hepatic failure while the other four patients had a clinical picture suggestive of decompensated cirrhosis. The medical use of this herb may possibly be responsible for a significant proportion of acute and chronic liver disease in India, making it of public health importance.

摘要

本文描述了6例因摄入草药后发生的静脉闭塞性疾病(VOD)。3例患者服用的紫草科植物被发现含有有毒的吡咯里西啶生物碱——天芥菜碱。2例患者表现为暴发性肝衰竭,另外4例患者的临床表现提示肝硬化失代偿。这种草药的医学应用可能是印度相当一部分急慢性肝病的病因,因此具有公共卫生重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/615a8dc509d5/postmedj00260-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/5813f3abc707/postmedj00260-0009-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/ac816e8dd8d3/postmedj00260-0009-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/615a8dc509d5/postmedj00260-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/5813f3abc707/postmedj00260-0009-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/ac816e8dd8d3/postmedj00260-0009-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291d/2425287/615a8dc509d5/postmedj00260-0010-a.jpg

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Herbal medicines and veno-occlusive disease in India.印度的草药与肝静脉闭塞病
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本文引用的文献

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Senecio poisoning exhibiting as Chiari's syndrome; a report on twelve cases.表现为Chiari综合征的千里光中毒;12例报告
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Cirrhosis of the liver in northern India. A clinicopathologic study.印度北部的肝硬化。一项临床病理研究。
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Veno-occlusive disease of liver.肝静脉闭塞病
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Morphological features of Indian childhood cirrhosis: the spectrum of changes and their significance.印度儿童肝硬化的形态学特征:变化范围及其意义。
Indian J Med Res. 1974 Jul;62(7):953-63.
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Toxicology and carcinogenic action of pyrrolizidine alkaloids.吡咯里西啶生物碱的毒理学与致癌作用。
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Hepatic veno-occlusive disease originating in Ecuador.源自厄瓜多尔的肝静脉闭塞病。
Gastroenterology. 1976 Jan;70(1):105-8.
9
Morphological features and probable mode of evolution of cirrhosis of the liver in adults in North India.印度北部成年人肝硬化的形态学特征及可能的演变模式。
Indian J Med Res. 1975 Dec;63(12):1747-60.
10
Study of an epidemic of venoocclusive disease in India.印度静脉闭塞性疾病疫情研究。
Gut. 1976 Nov;17(11):849-55. doi: 10.1136/gut.17.11.849.