甲维-茚虫威中毒致高铁血红蛋白血症1例报告  

A case report of methemoglobinemia caused by Metovir-indocarb poisoning

作　　者：朱芳芳 赵耀 鲍艳娟 燕宪亮 ZHU Fangfang;ZHAO Yao;BAO Yanjuan;YAN Xianliang(Department of Emergency,the Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China;Department of Emergency,Suining County People's Hospital)

机构地区：[1]徐州医科大学附属医院急诊医学科,江苏徐州221000 [2]睢宁县人民医院急诊医学科

出　　处：《临床急诊杂志》2024年第6期315-317,共3页Journal of Clinical Emergency

基　　金：江苏省基础研究计划(No:BK20231162)。

摘　　要：甲维-茚虫威是一种新型杀虫剂,由甲维盐、茚虫威混合而成,其毒性成分为茚虫威。国内外陆续有为数不多的中毒病例报告,现报道1例甲维-茚虫威中毒。茚虫威具有芳香代谢物,可以生物转化为产生高铁血红蛋白的活性中间体,引起高铁血红蛋白血症。应用亚甲蓝治疗后高铁血红蛋白量下降至正常,以供临床参考。Metovir-indocarb is a new insecticide,which is a mixture of metre-salt and indocarb,and its toxic component is indocarb.A small number of poisoning cases have been reported at home and abroad.Now report a case of metovir-indocarb poisoning.Indocarb has aromatic metabolites,which can be biotransformed into active intermediates for producing methemoglobin,causing methemoglobinemia.The amount of methemoglobin can decrease to normal after methylene blue treatment.

关 键 词：中毒 高铁血红蛋白血症 甲维-茚虫威 

分 类 号：R595.4[医药卫生—内科学]