由于常见鱼 (Bungarus caeruleus) 毒害而导致的状腺扩大:一个病例系列
Sujeet Raina1, Rashmi Kaul Raina2, Sarita Soni2
1Department of Medicine, Dr RPGMC, Tanda, Kangra (HP) India 176001.
概括
在普通 (Bungarus caeruleus) 受毒后,五名患者出现了双边膜扩大. 细针吸入细胞学表明炎症,所有患者在机械通风和抗毒治疗后完全康复.
科学领域:
- 毒理学 毒理学 毒理学
- 临床医学 临床医学
- 病理学 病理学 病理学
背景情况:
- 双侧膜扩大是一种异常的毒化后果.
- 常见的蛇 (Bungarus caeruleus) 是一种在南亚发现的有毒蛇.
- 神经衰竭是一种常见且严重的虫咬伤并发症.
研究的目的:
- 描述患有双侧膜扩大后常见毒的患者的临床表现和治疗方法.
- 为了研究这些患者口腔腺吸收的细胞学发现.
- 为了探索这种罕见并发症的潜在病理生理学.
主要方法:
- 五名患者的病例系列,在毒化后出现双侧膜扩大.
- 精细针吸收细胞学 (FNAC) 在四名患者的腺上进行.
- 临床管理包括机械通风和抗毒疗法.
主要成果:
- 所有五名患者都出现了双侧膜扩大.
- 在蛋白质背景下,FNAC揭示了轻微的淋巴细胞炎症反应.
- 所有患者都经历了下降神经衰竭,并接受了机械呼吸和抗毒药治疗.
- 在所有情况下都实现了完全康复.
结论:
- 双边膜扩大可能是Bungarus caeruleus中毒的罕见表现.
- 这种扩大可能是由于直接的毒毒性或免疫介导的炎症反应造成的.
- 及时使用抗毒药和支持性护理,包括机械通风,导致有利的结果.
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