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秋水仙碱中毒——临床特征与治疗。大量用药过量病例报告。

Colchicine toxicity--clinical features and treatment. Massive overdose case report.

作者信息

Folpini A, Furfori P

机构信息

Department of Anaesthesia, Intensive Care and Pain Therapy, Ospedale Regionale, Massa, Italy.

出版信息

J Toxicol Clin Toxicol. 1995;33(1):71-7. doi: 10.3109/15563659509020219.

Abstract

This is a report of colchicine poisoning in a 24-year-old woman. She developed multiple organ failure and bone marrow suppression after the suicidal ingestion of 50 (1 mg) colchicine tablets. The pancytopenia responded to granulocyte colony-stimulating factor 300 micrograms on days 4, 5, 6, and 8. Although anticolchicine monoclonal antibody administration is the only specific therapy described, intensive supportive care including granulocyte colony-stimulating factor administration can facilitate recovery from severe colchicine intoxication.

摘要

这是一篇关于一名24岁女性秋水仙碱中毒的报告。她在自杀性吞服50片(每片1毫克)秋水仙碱片剂后出现多器官功能衰竭和骨髓抑制。在第4、5、6和8天,给予300微克粒细胞集落刺激因子后,全血细胞减少症有了反应。尽管抗秋水仙碱单克隆抗体给药是所描述的唯一特异性治疗方法,但包括给予粒细胞集落刺激因子在内的强化支持治疗可促进严重秋水仙碱中毒的恢复。

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