Comparative analysis of organophosphorus versus carbamate pesticide poisoning: a case study.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jia-Ding Xia, Hui Wang, Li-Wei Hua, Min Xu, Xin Zheng, Kun Zhang
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引用次数: 0

Abstract

Organophosphorus poisoning is a critical condition that can cause central nervous system depression, respiratory failure, and death early on. As its clinical manifestations closely resemble those of carbamate pesticide poisoning, the aim of this case study is to present a case of misdiagnosis, initially identifying carbofuran poisoning as organophosphate in a patient suspect of a heatstroke. We also present a case of intentional self-poisoning with organophosphate dichlorvos to underline the likelihood of pesticide poisoning in patients exhibiting acute cholinergic symptoms when the ingested substance is not known. In such cases, empirical treatment with atropine and oxime can be started pending timely differential diagnosis to adjust treatment as necessary.

有机磷与氨基甲酸酯农药中毒的比较分析:案例研究。
有机磷中毒是一种可导致中枢神经系统抑制、呼吸衰竭和早期死亡的危重病症。由于其临床表现与氨基甲酸酯类农药中毒极为相似,本病例研究旨在介绍一例误诊病例,该病例最初将一名疑似中暑患者的呋喃丹中毒确定为有机磷中毒。我们还介绍了一例故意用有机磷敌敌畏自毒的病例,以强调在摄入物质不明的情况下,表现出急性胆碱能症状的患者很可能是农药中毒。在这种情况下,可先使用阿托品和肟进行经验性治疗,然后及时进行鉴别诊断,必要时调整治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Arhiv Za Higijenu Rada I Toksikologiju-Archives of Industrial Hygiene and Toxicology
Arhiv Za Higijenu Rada I Toksikologiju-Archives of Industrial Hygiene and Toxicology PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-TOXICOLOGY
CiteScore
3.50
自引率
4.80%
发文量
26
审稿时长
6-12 weeks
期刊介绍: Archives of Industrial Hygiene and Toxicology (abbr. Arh Hig Rada Toksikol) is a peer-reviewed biomedical scientific quarterly that publishes contributions relevant to all aspects of environmental and occupational health and toxicology.
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