电子烟液急性中毒病例报告。

Przeglad lekarski Pub Date : 2016-01-01
Ewa Gomółka, Monika Radomska, Dorota Emilia Bielska
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引用次数: 0

摘要

电子烟的普及来自解脱,产品是安全的。它们不含烟草烟雾中存在的致癌物质。但尼古丁液体是一种毒性很强的生物碱,极易上瘾。报告一例急性口服电子烟液中毒病例。一名患者,42岁女性,电子烟成瘾,健康至今,不小心喝了一大口含有浓度为6毫克/毫升尼古丁的电子液体。进毒理学时,她神志清醒,症状有:头晕、面颊发红、皮肤干燥、结膜干燥、瞳孔中等宽、神经抽搐、心动过速、血压升高。血清和尿液中可替宁-尼古丁代谢物浓度分别为2077和10236 ng/ml。应用的治疗方法是:输液,静脉碱化,给予电解质和心得安。病情逐渐好转,住院第三天,经精神科会诊,出院,身体状况良好,继续在神经内科门诊治疗。电子液体中毒是罕见的,中毒过程取决于尼古丁的剂量、吸收方式、患者的健康状况和年龄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Acute poisoning with e-cigarette liquid – case report].

Spreading e-cigarettes popularity comes from relief, the products are safe. They don’t contain carcinogenic substances, that are present in tobacco smoke. But nicotine present in e-liquid is a very toxic alkaloid, highly addictive. A case of acute, oral intoxication with e-liquid was described. A patient, 42-years old woman, e-cigarettes addicted, health thus far, by accident drunk a swig of e-liquid containing nicotine at concentration 6 mg/ml. At admission to Toxicology Department she was conscious, with symptoms: dizziness, flushed cheeks, dry skin, dry conjunctivas, medium-wide pupils, nervous twitch, tachycardia, elevated blood pressure. Concentration of cotinine – nicotine metabolite, in serum and urine were respectively 2077 and 10236 ng/ml. Applied treatment was: infusive liquids, intravenous alkalization, administration of electrolytes and propranolol. Gradually improvement was reached and on the third day of hospitalization, after psychiatric consultation she was deinstitutionalized in good medical condition to continue treatment in Neurology Clinic. E-fluid intoxications are rare, poisoning course depends on nicotine dose, way of absorption, patient’s health state and age.

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