用组合化疗法治疗严重的中毒:来自资源有限的国家的报告
Omender Singh1, Monica Mahajan2, Deven Juneja3
1Principal Director, Institute of Critical Care Medicine, Max Super Speciality Hospital, New Delhi, Delhi, India.
The Journal of the Association of Physicians of India
|February 2, 2025
概括
来自阿育吠陀药物的毒性正在增加. 及时诊断和化疗法,可能使用组合治疗,对于管理重金属中毒和改善患者的治疗结果至关重要.
科学领域:
- 毒理学 毒理学 毒理学
- 环境健康 环境健康
- 综合医学是一个整体医学.
背景情况:
- 越来越多的重金属毒性报告,特别是,与阿育吠陀和替代药物有关.
- 受污染的草药补充剂由于重金属含量变化,造成了诊断和治疗方面的挑战.
- 在资源贫乏的环境中,特定合剂的有限可用性限制了重金属中毒的治疗选择.
研究的目的:
- 强调在使用替代药物的患者中考虑中毒的重要性.
- 用可用的化剂来管理严重的毒性病例.
- 强调早期诊断和有效的化疗法的必要性.
主要方法:
- 一个38岁男性的案例研究,其毒性是由于阿育吠陀药物使用而产生的.
- 对血清含量升高 (120μg/dL) 进行肌肉内二甲的启动.
- 由于神经症状和二乙酸 (CaNa2EDTA) 的不可用性,添加D-penicillamine,然后在可用的情况下添加CaNa2EDTA.
主要成果:
- 患者出现吐,腹痛和便秘,同时导致,,和水平升高.
- 最初用迪默卡普罗尔和D-尼西拉胺治疗导致了临床改善.
- 在过渡到CaNa2EDTA后,成功管理和出院,没有神经系统的后果.
结论:
- 应该怀疑中毒的患者有无法解释的胃肠道或神经系统症状谁消费阿育吠陀或草药产品.
- 早期诊断和及时的化疗法对于重金属中毒的良好结果至关重要.
- 结合化疗可能是严重的毒性病例的可行策略.
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