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用氧除草剂和ioxynil用于急性中毒的性尿液
R J Flanagan1, T J Meredith, M Ruprah
1Poisons Unit, Guy's Hospital, London, UK.
Lancet (London, England)
|February 24, 1990
概括
性尿液改善了氧除草剂或氧尼尔中毒患者的生存率,特别是那些症状严重的患者. 这种治疗有效地降低了血中的基除草剂水平.
科学领域:
- 临床毒理学 临床毒理学
- 环境健康 环境健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 氧除草剂和氧尼尔是常见的农业化学品,与中毒事件有关.
- 了解这些中毒的毒性动力学和有效治疗方法对于患者的治疗结果至关重要.
研究的目的:
- 调查血度中氧草剂和氧尼尔及其毒性之间的关系.
- 评估性尿液在处理涉及这些除草剂的急性中毒病例中的有效性.
主要方法:
- 一项涉及41名患者的研究报告了氧除草剂和/或氧尼尔的摄入.
- 对血中的除草剂度,临床表现 (包括昏迷级) 和治疗干预措施的分析.
- 评估性尿液对患者生存和除草剂消除的影响.
主要成果:
- 多次暴露于除草剂是常见的 (41名患者中38名).
- 性尿液与严重的氧除草剂中毒 (15/16名幸存者) 和ioxynil联合摄入 (3/3名幸存者) 的生存有关.
- 性尿液显著降低了氧化的血半衰期,但没有影响ioxynil清除.
结论:
- 性尿液是急性氧化除草剂中毒的有益治疗方法,特别是在昏迷或高除草剂水平的患者中.
- 该疗法对联合摄入的ioxynil具有前景,改善了生存率.
- 性利尿症的症状包括昏迷,酸性血或氧化的血度≥0.5g/l.
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