昆士兰州八年来疑似石鱼中毒:一个回顾系列
Jessica Armstrong1,2, Keith Harris1,2,3, Carol Wylie3
1Clinical Toxicology Unit, Princess Alexandra Hospital, Brisbane, Australia.
Clinical toxicology (Philadelphia, Pa.)
|December 7, 2023
概括
石鱼刺伤会引起严重的疼痛,但系统性症状很少见. 在本研究中,局部麻醉阻塞有效控制疼痛,而抗毒药在本研究中表现出有限的有效性.
科学领域:
- 海洋毒理学 海洋毒理学
- 皮肤病学 皮肤病学
- 紧急医疗 紧急医疗
背景情况:
- 石鱼中毒呈现出严重的疼痛和胀.
- 系统性影响可能包括吐,心律失常和肺,可能导致死亡.
- 目前关于当前抗毒药的疗效的数据有限.
研究的目的:
- 为了描述疑似石鱼中毒的患者表现.
- 调查各种治疗方法的有效性,包括抗毒药.
主要方法:
- 疑似石鱼中毒的回顾性观测系列.
- 从2015年7月到2023年1月收集的数据.
- 涉及毒素信息中心和医院毒理学单位数据库.
主要成果:
- 确定了87起疑似石鱼中毒的病例.
- 严重的疼痛 (中位数为10/10) 是主要的症状 (98%).
- 系统性症状很少见;局部麻醉阻断在84%的病例中是有效的,而抗毒药显示出有限的疼痛缓解.
结论:
- 石鱼中毒主要导致严重的局部疼痛.
- 系统性症状不常见,通常不严重.
- 局部麻醉阻断剂是治疗严重疼痛的有效方法;抗毒药似乎效果较差.
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