相关实验视频
Updated: Jun 19, 2025

13:13
Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
14.1K
在怀孕期间治疗异甲酸诱导的甲血球血症
Blair Wallace1, Niamh Doran2, Claire Vincent2
1Acute Medicine, Raigmore Hospital, Inverness, UK blair.wallace4@nhs.scot.
BMJ case reports
|July 25, 2024
概括
一名孕妇在摄入异甲酸盐后出现严重的甲血球血症. 用甲基化 (甲蓝) 治疗是成功的,这表明好处可能超过怀孕中的风险.
科学领域:
- 毒理学 毒理学 毒理学
- 产科 产科 产科 产科 产科
- 药理学 药理学是指药理学的学科.
背景情况:
- 甲血球蛋白血症是一种罕见但严重的疾病,其特点是血液的氧气承载能力降低.
- 异烯酸盐是一种娱乐性物质,可以诱导甲基血球血.
- 怀孕在因潜在的胎儿风险而导致的毒理紧急情况管理方面存在独特的挑战.
研究的目的:
- 在怀孕期间报告一种罕见的异甲酸诱导的甲血球血病病例.
- 在这种情况下,评估甲基化 (甲蓝) 处理的安全性和有效性.
- 讨论在孕妇中管理类似病例的含义.
主要方法:
- 一个孕妇患者的病例报告呈现出色和严重的甲血球蛋白血症.
- 实验室分析包括动脉血液气体和甲血球蛋白水平.
- 用静脉注射甲基化 (甲蓝) 进行治疗.
主要成果:
- 患者在意外摄入异 Propyl 酸盐后出现严重的甲基血红蛋白血症 (>30%).
- 静脉注射甲基化的使用导致了快速的临床改善和症状的消失.
- 怀孕成功延续,由于胎儿生长受限,在36周分娩.
结论:
- 摄入异甲酸盐可以在怀孕期间引起危及生命的甲血球血.
- 甲基化 (甲蓝) 似乎是一种安全有效的治疗孕期甲球蛋白血症.
- 这一案例凸显了在妊娠期间及时诊断和管理毒理紧急情况的重要性,即使对胎儿风险的数据有限.
相关概念视频
Preparation of Amines: Reduction of Oximes and Nitro Compounds
3.5K
Oximes can be reduced to primary amines using catalytic hydrogenation, hydride reduction, or sodium metal reduction. The reduction of aliphatic and aromatic nitro compounds to primary amines takes place by either catalytic hydrogenation or by using active metals like Fe, Zn, and Sn in the presence of an acid.
Though catalytic hydrogenation can reduce nitrobenzenes, the reduction is nonselective in the presence of other functional groups. For instance, if nitrobenzene contains an aldehyde group,...
Though catalytic hydrogenation can reduce nitrobenzenes, the reduction is nonselective in the presence of other functional groups. For instance, if nitrobenzene contains an aldehyde group,...
3.5K
2° Amines to N-Nitrosamines: Reaction with NaNO2
4.1K
Secondary amines react with nitrous acid to form N-nitrosamines, as depicted in Figure 1. Nitrous acid, a weak and unstable acid, is formed in situ from an aqueous solution of sodium nitrite and strong acids, such as hydrochloric acid or sulfuric acid, in cold conditions. In the presence of an acid, the nitrous acid gets protonated. The subsequent loss of water results in the formation of the electrophile known as nitrosonium ion.
4.1K
Drug Delivery: Enteral Route
410
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
410
Prevention of Further Absorption of Poison
805
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
805
Carboxylic Acids to Methylesters: Alkylation using Diazomethane
2.1K
Carboxylic acids react with diazomethane in an ether solvent via alkylation at the carboxylate oxygen atom to give methyl esters of the corresponding acid with excellent yields.
2.1K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
157
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
157

