误服大量草铵膦致急性中毒抢救成功一例  

One case successfully rescued acute poisoning caused by misadministration of large amount of glufosinate

作　　者：苏春花[1] 菅向东[2] 张清波[1] 刘钰罡 李海燕 刘建强[1] Su Chunhua;Jian Xiangdong;Zhang Qingbo;Liu Yugang;Li Haiyan;Liu Jianqiang(Emergency Department,Dezhou People's Hospital,Dezhou 253014,China;Emergency Department of Poisoning and Occupational Diseases,Qilu Hospital,Shandong University,Jinan 250000,China;Lingcheng Town Health Hospital,Dezhou 253500,China)

机构地区：[1]德州市人民医院急诊科,253014 [2]山东大学齐鲁医院急诊科中毒与职业病科,济南250000 [3]德州市陵城区陵城镇卫生院,253500

出　　处：《中华劳动卫生职业病杂志》2020年第4期288-290,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：国家临床重点专科建设项目(2012650);泰山学者建设工程专项经费项目(ts20130911);山东省医药卫生重点实验室(鲁卫科教国合字[2013]49号)。

摘　　要：目的:分析1例急性草胺膦中毒导致呼吸心跳骤停并抢救成功的中毒病例。方法:对2018年4月某三甲医院收治的1例急性草胺膦中毒患者临床资料进行分析总结。结果:患者入院前2 h口服农药草铵膦约200 ml,在治疗期间出现呼吸心跳停止并复苏成功,后出现神经系统功能受损表现,给予全胃肠道洗消、血液灌流、保护重要脏器等积极综合治疗后病情好转。结论:对于临床大量口服草铵膦中毒的患者,在积极常规解毒治疗的同时应密切关注神经系统的损伤。Objective To report a case of acute glufosinate-ammonium poisoning cause respiratory cardiac arrest and grass amine poisoning cases of successful rescue.Methods The clinical data of a case of acute glufosinate-ammonium poisoning admitted to a third-class a hospital in April 2018 were analyzed and summarized.Results The patient was poisoned by oral administration of a large amount of glufosinate-ammonium.Respiratory and cardiac arrest occurred during treatment and resuscitation was successful Later,the nervous system showed impaired function,The patients were treated with complete gastrointestinal cleansing,hemoperfusion,and the protection of important organs.Conclusion For a large number of patients with oral glufosinate-ammonium poisoning,we should pay close attention to the damage of nervous system while taking active and conventional detoxification treatment.

关 键 词：中毒 草铵膦 呼吸心跳骤停 神经系统损伤 

分 类 号：R595.4[医药卫生—内科学]