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百草枯实验性中毒猪的血液灌流治疗

Haemoperfusion treatment in pigs experimentally intoxicated by paraquat.

作者信息

Yang T S, Chang Y L, Yen C K

机构信息

Department of Applied Biology, Pig Research Institute Taiwan, ROC.

出版信息

Hum Exp Toxicol. 1997 Dec;16(12):709-15. doi: 10.1177/096032719701601203.

DOI:10.1177/096032719701601203
PMID:9429084
Abstract
  1. Because of their similarity in renal morphology and physiology to humans, domestic pigs (gilts, 70 kg) were bolus treated by intramuscular injection of 74, 17, and 6 mg kg-1 and by oral loading (70 mg kg-1 n = 4) of paraquat. The concentration peak of plasma paraquat was reached at 1.5 - 2.5 h. Renal clearance of paraquat rose to its maximum at 5-6 h after intoxication and then sharply decreased indicating renal failure. All the intoxicated pigs died. 2. An additional 10 gilts were also orally treated with 70 mg kg-1 paraquat but received haemoperfusion from 2 h post intoxication for either 2 h (n = 6) or 6 h (n = 4). The 2 h haemoperfusion resulted in a 5.1% toxin removal but failed to save any of six poisoned pigs. Prolonged 6 h haemoperfusion successfully rescued three out of four intoxicated pigs. 3. The plasma paraquat concentrations of the three surviving pigs were above 2 mg l-1 at 10 h post intoxication. This level is not only similar to those of untreated animals that died later, but also well beyond the suggested limit for survival of poisoned patients. 4. Pigs proved to be a good animal model for studies in paraquat poisoning and/or haemoperfusion. It is also suggested that early haemoperfusion is effective in treating paraquat poisoning even in very severe cases due to its possible detoxicating effect in addition to toxin removal.
摘要
  1. 由于家猪(70千克的小母猪)在肾脏形态和生理方面与人类相似,通过肌肉注射74、17和6毫克/千克进行大剂量给药,并通过口服(70毫克/千克,n = 4)百草枯。血浆百草枯浓度峰值在1.5 - 2.5小时达到。百草枯的肾脏清除率在中毒后5 - 6小时升至最高,然后急剧下降,表明肾衰竭。所有中毒的猪均死亡。2. 另外10头小母猪也口服70毫克/千克百草枯,但在中毒后2小时开始进行血液灌流,持续2小时(n = 6)或6小时(n = 4)。2小时的血液灌流使毒素清除率达到5.1%,但未能挽救6头中毒猪中的任何一头。延长至6小时的血液灌流成功挽救了4头中毒猪中的3头。3. 3头存活猪在中毒后10小时的血浆百草枯浓度高于2毫克/升。这个水平不仅与后来死亡的未治疗动物相似,而且远远超过了中毒患者存活的建议限度。4. 猪被证明是百草枯中毒和/或血液灌流研究的良好动物模型。还表明,早期血液灌流即使在非常严重的病例中对治疗百草枯中毒也是有效的,因为除了毒素清除外,它可能还有解毒作用。

相似文献

1
Haemoperfusion treatment in pigs experimentally intoxicated by paraquat.百草枯实验性中毒猪的血液灌流治疗
Hum Exp Toxicol. 1997 Dec;16(12):709-15. doi: 10.1177/096032719701601203.
2
The value of plasma paraquat concentration in predicting therapeutic effects of haemoperfusion in patients with acute paraquat poisoning.血浆百草枯浓度对预测急性百草枯中毒患者血液灌流疗效的价值。
PLoS One. 2012;7(7):e40911. doi: 10.1371/journal.pone.0040911. Epub 2012 Jul 20.
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Effect of aggressive haemoperfusion on the clinical course of patients with paraquat poisoning.积极血液灌流对百草枯中毒患者临床病程的影响。
Hum Exp Toxicol. 1993 Jul;12(4):323-7. doi: 10.1177/096032719301200411.
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Experience with acute paraquat poisoning in Crete.克里特岛急性百草枯中毒的经验
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Further evidence of the usefulness of Acute Physiology and Chronic Health Evaluation II scoring system in acute paraquat poisoning.急性生理学与慢性健康状况评估II评分系统在急性百草枯中毒中有用性的进一步证据。
Clin Toxicol (Phila). 2006;44(2):99-102. doi: 10.1080/15563650500514251.
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Changes in concentrations of type IV collagen and tissue inhibitor of metalloproteinase-1 in patients with paraquat poisoning.百草枯中毒患者IV型胶原和基质金属蛋白酶-1组织抑制剂浓度的变化
J Appl Toxicol. 2001 Nov-Dec;21(6):445-7. doi: 10.1002/jat.779.
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Failure of haemoperfusion and haemodialysis to prevent death in paraquat poisoning. A retrospective review of 42 patients.血液灌流和血液透析未能预防百草枯中毒患者死亡。对42例患者的回顾性研究。
Med Toxicol Adverse Drug Exp. 1988 Jan-Dec;3(1):64-71. doi: 10.1007/BF03259932.
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[Effects of hemoperfusion on plasma concentration and histopathological changes in paraquat poisoning rabbits].血液灌流对百草枯中毒兔血浆浓度及组织病理学变化的影响
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2011 Oct;29(10):735-9.
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The first ever report of homicidal poisoning by intramuscular injection of gramoxone (paraquat).首例关于通过肌肉注射克芜踪(百草枯)进行他杀性中毒的报告。
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Haemoperfusion ineffective for paraquat removal in life-threatening poisoning.血液灌流对百草枯中毒致危及生命情况的清除无效。
Lancet. 1983 Jun 18;1(8338):1376-7. doi: 10.1016/s0140-6736(83)92151-7.

引用本文的文献

1
Continuous venovenous hemofiltration in the management of paraquat poisoning: A meta-analysis of randomized controlled trials.连续性静脉-静脉血液滤过在百草枯中毒治疗中的应用:一项随机对照试验的荟萃分析
Medicine (Baltimore). 2017 May;96(20):e6875. doi: 10.1097/MD.0000000000006875.
2
Early hemoperfusion may improve survival of severely paraquat-poisoned patients.早期血液灌流可能会提高重度百草枯中毒患者的生存率。
PLoS One. 2012;7(10):e48397. doi: 10.1371/journal.pone.0048397. Epub 2012 Oct 29.