甲状腺中毒:杀虫剂对人类有轻微的毒性
Ramya Iyadurai1, J V Peter2, Audrin Lenin3
1Professor, Medicine (Unit 5), Christian Medical College, Vellore, Tamilnadu, India.
Medical journal, Armed Forces India
|December 30, 2024
概括
用甲状腺杀虫剂故意自伤是很常见的. 2型甲状腺中毒,和医院前治疗增加了住院的风险.
科学领域:
- 毒理学 毒理学 毒理学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 甲状腺杀虫剂在全球广泛使用.
- 使用铁类药物故意自伤 (DSH) 是一个重大的临床挑战.
- 了解甲状腺中毒概况对于有效管理至关重要.
研究的目的:
- 描述DSH的临床表现和结果,包括1型和2型铁类型.
- 确定在甲状腺中毒病例中预测需要住院治疗的因素.
- 为临床实践和公共卫生战略提供有关甲状腺安全的信息.
主要方法:
- 在南印度一家三级医院中,对379名皮甲状腺中毒患者进行了回顾性研究.
- 基于1型或2型甲状腺暴露的患者分类.
- 双变量和多变量后勤回归分析以确定住院预测因素.
主要成果:
- 最常见的是2型甲状腺 (cypermethrin) 和1型甲状腺 (transfluthrin).
- 34.3%的患者需要住院治疗,3.4%需要机械呼吸;所有患者都幸存下来.
- 摄入2型铁类药物,史和医院前治疗独立预测住院.
结论:
- 大约三分之一的甲中毒病例需要住院治疗.
- 2型甲状腺中毒很普遍,并与严重程度的增加有关.
- 发作和医院前护理的需要是炎甲状腺中毒住院的关键指标.
相关概念视频
Anticholinesterase Agents: Poisoning and Treatment
727
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
727
Toxic Reactions: Overview
894
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
894
Types of Toxins
1.3K
Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
1.3K
Physical Properties of Amines
2.9K
Amines with low molecular weight are usually gaseous at room temperature, while those with high molecular weight are liquid or solids in nature. Usually, low molecular weight amines have a rotten fish-like smell. Diamines typically have a pungent smell. For instance, cadaverine and putrescine, depicted in Figure 1, are two molecules responsible for decaying tissue.
2.9K
Prevention of Further Absorption of Poison
734
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...
734
Antidotes
589
Antidotes are medicinal substances used to counteract the harmful effects of toxins or drugs in the body. They function in various ways, each uniquely designed to combat specific toxic compounds.
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
589


