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使用血液透析和2,3-丙磺酸钠(二巯丙磺钠)治疗致死剂量三氧化二砷所致急性口服中毒。

The use of haemodialysis and 2,3 propanesulphonate (DMPS) to manage acute oral poisoning by lethal dose of arsenic trioxide.

作者信息

Kruszewska S, Wiese M, Kołaciński Z, Mielczarska J

机构信息

Clinic of Acute Poisoning, Nofer Institute of Occupational Medicine, Lodz, Poland.

出版信息

Int J Occup Med Environ Health. 1996;9(2):111-5.

PMID:8803325
Abstract

The paper discusses a case of oral acute poisoning by dental paste containing arsenic trioxide. A 33-year-old woman ingested 1/3 of the dental paste package, which corresponds to 1850 mg pure arsenic trioxide. Acute gastroenteritis and oral mucosa burn developed within 3 hours since the poisoning. Considering the amount of the ingested poison, highly exceeding the lethal dose, haemodialysis was undertaken. During the treatment, DMPS (Unithiol) was administered, with the patient's consent. The patient recovered completely, with no complications or side-effects of the therapy.

摘要

本文讨论了一例因含三氧化二砷的牙膏导致的口服急性中毒病例。一名33岁女性摄入了1/3包牙膏,相当于1850毫克纯三氧化二砷。中毒后3小时内出现急性肠胃炎和口腔黏膜灼伤。考虑到摄入的毒物量远远超过致死剂量,遂进行了血液透析。治疗期间,在患者同意的情况下给予了二巯丙磺钠(二巯基丙磺酸钠)。患者完全康复,治疗无并发症或副作用。

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