Nishiyama T, Nagase M
Department of Anesthesiology, JR Tokyo General Hospital, Japan.
Am J Emerg Med. 1995 Mar;13(2):172-3. doi: 10.1016/0735-6757(95)90087-X.
A rare case of suicidal strychnine poisoning that resolved naturally without treatment is presented. The patient first complained of chest pain, which was originally thought to be caused by a dissecting aneurysm; however, nystagmus, dysesthesia, spastic paraplesia, and hyperreactivity to stimuli shortly developed. Diagnosis was difficult because the patient did not disclose the drinking of strychnine or the suicidal intent, and no abnormal signs were seen in the various central nervous system examinations. The natural course was observed without treatment because the patient's circulatory and respiratory condition was good. Movement disturbances in the upper extremities disappeared after 2 days, nystagmus in 3 days, and dysesthesia and spastic paraplesia in 4 days. The patient was able to stand on the fourth day and walk on the seventh. He was discharged on day 10 without any detectable ill effects.
本文报告了一例罕见的自杀性士的宁中毒病例，该病例未经治疗自然痊愈。患者最初主诉胸痛，最初认为是由夹层动脉瘤引起；然而，不久后出现眼球震颤、感觉异常、痉挛性截瘫和对刺激的高反应性。由于患者未透露服用士的宁或自杀意图，且在各种中枢神经系统检查中未发现异常体征，诊断困难。由于患者的循环和呼吸状况良好，未进行治疗，而是观察其自然病程。上肢运动障碍在2天后消失，眼球震颤在3天后消失，感觉异常和痉挛性截瘫在4天后消失。患者在第4天能够站立，第7天能够行走。他在第10天出院，没有任何可检测到的不良影响。
