急性复配虫螨腈中毒致死亡2例  

Two case report of death from acute compound chlorfenapyr poisoning

作　　者：赵波[1] 曲爱君[1] 孙宝泉[1] 邹宪宝[1] 陈士超[1] Zhao Bo;Qu Aijun;Sun Baoquan;Zou Xianbao;Chen Shichao(Department of Emergency Medicine LiaoCheng People's Hospital,LiaoCheng 252000,China)

机构地区：[1]聊城市人民医院急诊科,聊城252000

出　　处：《中华劳动卫生职业病杂志》2022年第6期445-447,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：虫螨腈是农业广泛应用的一种中度危险杀虫剂, 急性中毒患者死亡率较高, 尚无有效治疗手段。本文对2例复配虫螨腈中毒病例临床资料回顾性分析, 患者主要表现为高热、出汗、逐渐昏迷、肌酸激酶及肌红蛋白升高, 有迟发中毒表现, 虽经综合治疗但最终2名患者均死亡。提示虫螨腈毒性强, 致死率高。对于急性中毒患者除常规对症治疗外, 应早期积极行血液净化治疗。Chlorfenapyr is a moderately dangerous insecticide widely used in agriculture.The mortality of acute poisoning patients is high,and there is no effective treatment.This paper retrospectively analyzes the clinical data of two cases of compound chlorfenapyr poisoning.The main symptoms of the patients were high fever,sweating,gradual coma,increased creatine kinase and myoglobin,with delayed poisoning symptoms.Despite comprehensive treatment,both patients died eventually.It indicated that chlorfenapyr was highly toxic and had a high mortality.In addition to routine symptomatic treatment for patients with acute poisoning,blood purification treatment should be actively carried out in the early stage.

关 键 词：杀虫药 虫螨腈 甲维·虫螨腈 虱脲·虫螨腈 中毒 

分 类 号：R595.4[医药卫生—内科学]