肌内注射来福灵致中毒1例  

A case of poisoning caused by intramuscular injection of esfenvalerate

作　　者：李金 唐光敏[2] 向仕钊 杨明洋 杨丽[2] Li Jin;Tang Guangmin;Xiang Shizhao;Yang Mingyang;Yang Li(Department of Infection,Chengdu First People's Hospital,Chengdu 610000,China;Department of Infection,West China Hospital of Sichuan University,Chengdu 610000,China;Department of Critical Care Medicine,West China Fourth Hospital,Sichuan University,Chengdu 610000,China)

机构地区：[1]成都市第一人民医院感染科,成都610000 [2]四川大学华西医院感染科,成都610000 [3]四川大学华西第四医院重症医学科,成都610000

出　　处：《中华劳动卫生职业病杂志》2023年第3期225-227,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：来福灵是一种常用的高效拟除虫菊酯类杀虫剂,接触及误服致中毒者较为常见,而肌内注射致中毒者少有报道。本文报道1例2021年11月四川大学华西医院感染科收治的肌内注射来福灵中毒病例。患者肌内注射来福灵约20 ml后,出现注射部位肿胀、刺痛感,导致局部横纹肌组织变性、坏死以及肝功能受损等,经补液、促进毒物代谢、抗感染、护肝、局部抽液等治疗后好转出院。Esfenvalerate is a kind of commonly used highly effective pyrethroid insecticide.It is common for people who are poisoned by contact or misuse,but rarely reported for people who are poisoned by intramuscular injection.This paper reports a case of intramuscular injection of esfenvalerate in the Department of Infection,West China Hospital of Sichuan University in November 2021.The patient was intramuscularly injected with about 20 ml of esfenvalerate,inducing the sense of swelling and tingling,degeneration and necrosis of striated muscle tissue at the injection site,also liver function damage and other manifestations.The patient was discharged from hospital after rehydration,accelerating poison metabolism,anti-infection,liver protection and local puncture.

关 键 词：农药 中毒 来福灵 拟除虫菊酯类 注射 肌肉内 横纹肌溶解 

分 类 号：R595.4[医药卫生—内科学]