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一例致命的氟化钠中毒病例中的钙代谢

Calcium metabolism in a fatal case of sodium fluoride poisoning.

作者信息

Simpson E, Rao L G, Evans R M, Wilkie W, Rodger J C, Lakhani A

出版信息

Ann Clin Biochem. 1980 Jan;17(1):10-4. doi: 10.1177/000456328001700102.

DOI:10.1177/000456328001700102
PMID:7377741
Abstract

A patient was admitted to a district general hospital within an hour of ingesting a fatal dose of sodium fluoride. The results of laboratory investigations, together with some in vitro findings, support the hypothesis that the hypocalcaemia of fluoride poisoning is the result of fluorapatite formation and not calcium fluoride precipitation, and that its persistence reflects the severity of the calcium deficit and not an inhibitoin of normal homeostatic mechanisms. It is suggested that the role of renal clearance of fluoride may be more important than had been realised hitherto.

摘要

一名患者在摄入致命剂量的氟化钠后一小时内被送往一家地区综合医院。实验室检查结果以及一些体外研究结果支持以下假设:氟中毒导致的低钙血症是氟磷灰石形成的结果,而非氟化钙沉淀所致,其持续存在反映的是钙缺乏的严重程度,而非正常稳态机制受到抑制。有人提出,肾脏对氟的清除作用可能比迄今所认识到的更为重要。

相似文献

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Calcium metabolism in a fatal case of sodium fluoride poisoning.一例致命的氟化钠中毒病例中的钙代谢
Ann Clin Biochem. 1980 Jan;17(1):10-4. doi: 10.1177/000456328001700102.
2
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A comparison of some effects of fluoride on apatite formation in vitro and in vivo.氟化物在体外和体内对磷灰石形成的某些影响的比较。
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Arch Toxicol. 2020 May;94(5):1375-1415. doi: 10.1007/s00204-020-02725-2. Epub 2020 May 8.
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Case files of the Toxikon Consortium in Chicago: survival after intentional ingestion of hydrofluoric acid.芝加哥毒物学联盟的病例档案:故意摄入氢氟酸后的存活情况。
J Med Toxicol. 2010 Sep;6(3):349-54. doi: 10.1007/s13181-010-0088-4.
3
The effect of intravenous sodium fluoride and synthetic salmon calcitonin on plasma total calcium, inorganic phosphate, and ionic fluoride.
静脉注射氟化钠和合成鲑鱼降钙素对血浆总钙、无机磷和离子氟的影响。
Calcif Tissue Int. 1987 Aug;41(2):105-11. doi: 10.1007/BF02555252.
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Parathyroid glands, calcium, and vitamin D in experimental fluorosis in pigs.猪实验性氟中毒中的甲状旁腺、钙和维生素D
Calcif Tissue Int. 1986 Apr;38(4):222-6. doi: 10.1007/BF02556714.
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Acute fluoride toxicity. Pathophysiology and management.急性氟中毒。病理生理学与处理
Drug Saf. 1990 Mar-Apr;5(2):79-85. doi: 10.2165/00002018-199005020-00001.
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Red blood cell glucose metabolism in human chronic fluoride toxicity.人类慢性氟中毒中的红细胞葡萄糖代谢
Bull Environ Contam Toxicol. 1991 Dec;47(6):834-9. doi: 10.1007/BF01689512.
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An experimental study on the treatment of hydrofluoric acid burns.氢氟酸烧伤治疗的实验研究
Arch Environ Contam Toxicol. 1992 May;22(4):414-8. doi: 10.1007/BF00212561.