寻求冷却的行为和热感作为烯中毒的标志性毒素组:一个案例报告
Jiun-Hao Yu1, Chih-Huang Hsieh2, Chi-Syuan Pan3
1Department of Emergency Medicine, China Medical University Hsinchu Hospital, China Medical University, Hsinchu, Taiwan.; Graduate Institute of Management, Chang Gung University, Taoyuan City, Taiwan; Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan.
The Journal of emergency medicine
|November 21, 2025
概括
早期的Chlorfenapyr中毒可能会出现发热症状,如感觉很热并寻求冷却,而不仅仅是无症状的阶段. 识别这些迹象有助于及时管理二中毒.
科学领域:
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
- 临床病例报告 临床病例报告
背景情况:
- 作为一种pyrrole杀虫剂的fenapyr,通过线粒体氧化酸化干扰引起延迟的毒性.
- 典型的毒性包括高热症和多器官衰竭.
- 早期阶段往往被误认为无症状,延迟了关键干预.
研究的目的:
- 为了突出发热的症状作为早期的标志的Chlorfenapyr中毒.
- 质疑在毒中毒中存在无症状潜伏期的假设.
- 改善在紧急情况下早期识别和管理烯中毒.
主要方法:
- 一个78岁的女性摄入基于Chlorfenapyr的杀虫剂的案例报告.
- 临床观察持续的主观热感和积极寻求冷却的行为,尽管正常热量.
- 气色谱-质谱分析血清的烯聚度.
主要成果:
- 患者出现了轻微的胃肠道症状和主观热量,积极寻求冷却.
- 最初的实验室显示轻度乳酸性化,没有器官功能障碍.
- 后来出现了严重的症状,包括高温症,激动和心脏骤停;血清Chlorfenapyr证实了暴露.
结论:
- 持续的热感和寻求冷却的行为是二中毒的潜在早期预警信号.
- 紧急医生应该考虑这些微妙的症状,以便早期诊断和监测.
- 及时识别可以促进早期确认性测试,并改善患者的治疗结果.
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