素中毒:一系列病例,其中包括一个死因是用酸喷后的死亡
Hande Asan1, Dilay Satılmış1, Hanım Asya Koka1
1Emergency Department, University of Health Sciences Sultan 2. Abdülhamid Han Research and Training Hospital, Istanbul, Turkey.
Clinical toxicology (Philadelphia, Pa.)
|November 21, 2025
概括
酸烟雾剂中毒可能是致命的. 在一个家庭中意外暴露于氨酸气体导致了严重的心血管崩和一个人的死亡,突出了迅速诊断的必要性.
科学领域:
- 毒理学 毒理学 毒理学
- 环境健康 环境健康
- 紧急医疗 紧急医疗
背景情况:
- 化 (AlP) 是一种高度有毒的烟剂农药.
- 在与水分接触时,AlP会释放氨酸气体.
- 氨酸气主要影响心血管系统,可能导致多器官衰竭.
研究的目的:
- 为了突出素气体吸入的诊断挑战.
- 强调在同一个环境中具有类似症状的病例中考虑有毒暴露的重要性.
- 介绍一系列家庭成员暴露于AlP烟雾的案例.
主要方法:
- 一系列案例报告了来自同一家庭的四个人.
- 临床表现,生命体征和结果的描述.
- 综述包括恶心,吐和神经状态在内的症状.
主要成果:
- 一个人出现了严重的症状,包括低格拉斯哥昏迷尺度,胸肌梗塞,低温,低血压和固定扩张的瞳孔.
- 这个人心脏骤停,入院8小时后死亡.
- 另外两名患者出现了恶心和吐,促使人们考虑毒性暴露.
结论:
- 意外吸入 AlP 烟雾中的氨酸会对健康造成重大风险.
- 早期的症状可以模仿不那么严重的疾病,如胃肠炎.
- 在致命的病例中,可能会发生快速进展到休克,心律失常和多器官衰竭.
相关概念视频
Anticholinesterase Agents: Poisoning and Treatment
1.5K
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...
1.5K
Prevention of Further Absorption of Poison
1.2K
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...
1.2K
Physical Properties of Amines
4.1K
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.
4.1K
Types of Toxins
3.1K
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...
3.1K
The Phosphorus Cycle
43.5K
Unlike carbon, water, and nitrogen, phosphorus is not present in the atmosphere as a gas. Instead, most phosphorus in the ecosystem exists as compounds, such as phosphate ions (PO43-), found in soil, water, sediment and rocks. Phosphorus is often a limiting nutrient (i.e., in short supply). Consequently, phosphorus is added to most agricultural fertilizers, which can cause environmental problems related to runoff in aquatic ecosystems.
43.5K
Pneumonia II: Pathophysiology
2.5K
The pathophysiology of pneumonia involves the following steps:
2.5K


