从摄入的加热烟草棒中产生的金属敏感体的自然排泄
Hirohito Doi1, Toshihiko Kakiuchi1, Masafumi Nishino1
1Department of Pediatrics, Faculty of Medicine Saga University Saga Japan.
Clinical case reports
|April 10, 2024
概括
意外摄入加热烟草制品可能会带来双重风险:尼古丁中毒和消化道中的金属异物. 小金属异物,如讨论的12毫米片段,可能会在儿童中自然传递,避免内镜去除.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 儿科 儿科 儿科
背景情况:
- 加热烟草制品 (HTP) 越来越普遍,造成独特的摄入风险.
- 意外摄入HTP成分需要仔细的临床考虑.
- 区分毒理和异物风险对于诊断至关重要.
研究的目的:
- 为了突出加热烟草摄入的双重诊断考虑.
- 评估消化道中金属外体的管理方法.
- 评估摄入小金属异物体的自发通道潜力.
主要方法:
- 对疑似摄入加热烟草制品的患者的案例审查.
- 诊断成像和临床表现的分析.
- 对管理策略的评估,包括观察与内镜干预的对比.
主要成果:
- 摄入HTP需要考虑尼古丁毒性和金属异物.
- 小金属异物 (例如12毫米的碎片) 具有高无症状通道的可能性.
- 对于小的,不阻的金属异物,可能不需要内镜去除.
结论:
- 在与HTP相关的病例中,临床医生必须保持对尼古丁中毒和外体摄入的高度怀疑指数.
- 对小型金属外体而言,通过观察进行保守的管理是可行的选择.
- 这种方法可以防止儿童和成人患者不必要的侵入性手术.
更多相关视频
10:44Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
11.5K
08:39Generation of Electronic Cigarette Aerosol by a Third-Generation Machine-Vaping Device: Application to Toxicological Studies
Published on: August 25, 2018
25.5K
相关概念视频
Atomic Absorption Spectroscopy: Atomization Methods
418
Atomic Absorption Spectroscopy (AAS) atomizes samples through flame atomization or electrothermal atomization. Flame atomization typically involves a nebulizer and spray chamber assembly to combine the sample with a fuel–oxidant mixture, creating a fine aerosol mist that enters a burner. Typically, the fuel and oxidant are combined in an approximately stoichiometric ratio. However, for atoms that are easily oxidized, a fuel-rich mixture may be more advantageous. Only about 5% of the...
418
Sample Preparation for Analysis: Advanced Techniques
331
Accurate analysis of complex samples often requires advanced preparation techniques to achieve reliable and reproducible results. Samples containing inorganic or organic materials can be challenging to dissolve or decompose effectively. Standard sample preparation methods include acid digestion, fusion, dry ashing, and wet digestion.
Acid digestion with strong acids is commonly used to dissolve inorganic materials that are insoluble (do not dissolve) in water. This method can be useful for...
Acid digestion with strong acids is commonly used to dissolve inorganic materials that are insoluble (do not dissolve) in water. This method can be useful for...
331
Washing, Drying, and Ignition of Precipitates
911
After filtration, the precipitate is washed to remove coprecipitated impurities and any remaining mother liquor. Colloidal precipitates, such as silver chloride, are washed with an electrolyte (such as dilute nitric acid) to prevent the peptization of the precipitate. In the case of slightly soluble precipitates, the wash solution contains a common ion to reduce solubility. Lead sulfate, which is slightly soluble in water, is washed with dilute sulfuric acid. Similarly, wash solutions may be...
911
Precipitation Gravimetry
6.3K
Precipitation gravimetry is based on converting an analyte into a sparingly soluble precipitate, which is separated by filtration and weighed. An ideal precipitate should be pure, insoluble, of known composition, and easily filtered from the reaction mixture.
In determining nickel by gravimetric analysis, a precipitant of ethanolic dimethylglyoxime is added to a hot nickel salt solution. This is quickly followed by the dropwise addition of dilute ammonia solution until precipitation occurs. A...
In determining nickel by gravimetric analysis, a precipitant of ethanolic dimethylglyoxime is added to a hot nickel salt solution. This is quickly followed by the dropwise addition of dilute ammonia solution until precipitation occurs. A...
6.3K
Qualitative Analysis
22.3K
For solutions containing mixtures of different cations, the identity of each cation can be determined by qualitative analysis. This technique involves a series of selective precipitations with different chemical reagents, each reaction producing a characteristic precipitate for a specific group of cations. Metal ions within a group are further separated by varying the pH, heating the mixture to redissolve a precipitate, or adding other reagents to form complex ions.
For instance, group IV...
For instance, group IV...
22.3K
Voltammetry: Stripping Methods
212
Anodic Stripping Voltammetry (ASV), Cathodic Stripping Voltammetry (CSV), and Adsorptive Stripping Voltammetry (AdSV) are electrochemical techniques used to determine trace amounts of analytes in solution. These methods involve applying a potential to an electrode and measuring the resulting current.
Anodic Stripping Voltammetry (ASV)
ASV is used to determine metals and metalloids at trace levels. It involves two steps: deposition and stripping. First, a negative potential is applied to the...
Anodic Stripping Voltammetry (ASV)
ASV is used to determine metals and metalloids at trace levels. It involves two steps: deposition and stripping. First, a negative potential is applied to the...
212
