[通过大量非致命性中毒的毒性作用的个性化性质,通过法纳泽和其他精神活性物质中毒]
V D Akimova1, S S Barsegyan1,2, T V Pleteneva3
1Russian Center of Forensic Medical Expertise, Moscow, Russia.
Sudebno-meditsinskaia ekspertiza
|February 14, 2024
概括
大规模中毒事件显示,由于粉碎的费纳泽帕姆片,严重中毒. 法医分析证实了法纳泽帕姆在所有患者中与其他物质一起使用,突出了复杂的毒性概况.
科学领域:
- 法医毒理学 法医毒理学
- 临床化学 临床化学
- 药理学 药理学是指药理学的学科.
背景情况:
- 多个严重中毒病例与含有粉碎法纳泽片的污染饮料有关.
- 在涉及精神活性物质的大规模中毒事件中需要进行全面的毒理学分析.
研究的目的:
- 在患者中识别和量化法纳泽帕姆和同时摄入的物质.
- 在现实世界的大规模中毒场景中调查费纳泽帕姆的毒理特征.
主要方法:
- 使用高性能液体染色学-并联质谱法 (HPLC-MS/MS) 分析血液和尿液样本.
- 对14名受影响个体的生物样本进行了法医,化学和毒理学检查.
主要成果:
- 在所有14名患者的生物样本中检测到phenazepam.
- 证实了其他精神活性物质的同时摄入,包括巴克洛芬,普雷加巴林,特拉马多尔和西巴姆.
- 在血液 (109.75-786.50 ng/ml) 和尿液 (8.97-101.28 ng/ml) 中量化的费纳泽帕姆度.
结论:
- 费纳泽帕姆是这次大规模中毒事件的主要代理物.
- 多种精神活性物质的联合作用使毒性评估复杂化.
- 药理动力学和毒理动力学因素,以及患者的表型,对于评估法纳泽帕姆毒性至关重要.
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