急性虫螨腈中毒3例  

Three cases of acute chlorfenapyr poisoning

作　　者：渠继来 颜海燕 朱学创[1] 郝玉贵[1] Qu Jilai;Yan Haiyan;Zhu Xuechuang;Hao Yugui(Department of Emergency Zaozhuang Municipal Hospital,Zaozhuang 277101,China)

机构地区：[1]枣庄市立医院急救中心,枣庄277101

出　　处：《中华劳动卫生职业病杂志》2023年第6期461-462,共2页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：本文报道3例虫螨腈中毒病例。虫螨腈中毒病例在临床上呈增多趋势,患者中毒早期表现为消化道症状,后逐渐出现大汗、高热、意识改变、心肌酶改变等,其中毒机制为解耦联氧化磷酸化。由于无特效解毒药,虫螨腈中毒病死率较高,治疗方法包括胃肠道毒物清除及对症支持治疗,早期血液净化效果较好。This paper reported 3 cases of poisoning caused by chlorfenagyr.Chlorfenapyr poisoning has gradually increased in clinical practice.The early stage after poisoning is digestive tract symptoms,followed by sweating,high fever,changes in consciousness,changes in myocardial enzymology,etc.Its main mechanism of intoxication is uncoupling oxidative phosphorylation.Since there is no specific antidote after poisoning,the fatality rate of chlorfenapyr poisoning remains high.The therapeutic measures are early gastrointestinal decontamination,symptomatic and supportive treatments,and early blood purification may be an effective treatment.

关 键 词：中毒 杀虫药 虫螨腈 血液净化 

分 类 号：R595.4[医药卫生—内科学]