氨基甲酸酯类农药中毒引起心肌损害1例  

One case of myocardial damage caused by carbamate pesticide poisoning

作　　者：黄子炎 刘盈[2] 林时荣[2] 周从阳[2] Huang Ziyan;Liu Ying;Lin Shirong;Zhou Congyang(Clinical Medicine,Jiangxi Medical College,Nanchang University,Nanchang 330006,China;Emergency Department,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学江西医学院临床医学专业,南昌330006 [2]南昌大学第一附属医院急诊科,南昌330006

出　　处：《中华劳动卫生职业病杂志》2023年第7期549-551,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：江西省教育厅科技研究项目(GJJ200223);江西省卫生健康委员会科技项目(20185077)。

摘　　要：本文分析1例摄入氨基甲酸酯类农药中毒患者资料,治疗过程中出现心脏骤停、少尿、急性肾功能损伤和肺部感染,经心肺复苏、气管插管、连续性肾脏替代治疗及抗感染等对症支持治疗痊愈出院。氨基甲酸酯类农药中毒对心肌的损害易被忽视,常会引起心律失常、心功能不全等表现,相关心脏损伤标志物、心电图及超声心动图也会有改变,应提高对氨基甲酸酯类农药中毒引起心肌损害的认识。The data of a patient with carbamate pesticide poisoning were analyzed.Cardiac arrest,oliguria,acute renal injury and pulmonary infection occurred during treatment.After cardiopulmonary resuscitation,tracheal intubation,CRRT,anti-infection and other symptomatic support treatment,the patient recovered and discharged.The myocardial damage caused by carbamate pesticide poisoning is easy to be ignored,and it often causes cardiac manifestations such as arrhythmia and cardiac insufficiency,and the related markers of cardiac injury,electrocardiogram and echocardiogram are also changed.Therefore,the awareness of cardiac damage caused by carbamate pesticide poisoning should be improved.

关 键 词：农药 中毒 氨基甲酸酯 心肌损害 

分 类 号：R595.4[医药卫生—内科学]