有机磷中毒后的中间综合征评论文章

M. Umakanth
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引用次数: 5

摘要

背景:有机磷酸盐(OPs)在世界范围内被广泛用作农药。接触有机磷农药每年造成无数中毒和死亡病例。有机磷中毒会产生一系列毒蕈碱、烟碱和胆碱能的副作用,包括中枢和周围神经系统。有机磷化合物的简单可及性导致了农药中毒率的上升,事实上,它是发病率和死亡率的一个值得注意的原因,在一个不断发展的地区呈现出普遍的医疗问题。方法:查阅已发表的文献。检索数据库Medline、Embase、Scopus和谷歌Scholar,检索词为中间综合征、有机磷诱导中间综合征和有机磷中毒。合并了数据库并删除了副本。结果:在重度有机磷中毒中,严重和延迟的乙酰胆碱酯酶抑制伴随着氧化应激,这种氧化应激发生在中毒初期,并可能增加中间综合征(IMS)的进展和严重程度。结论:通常在发病后2-4天出现,此时强烈胆碱能障碍的副作用和适应症(如肌肉束动、毒蕈碱症状)不再明显。然而,IMS已被认为是一个值得注意的导致有机磷相关发病率和死亡率的因素,因为它的持续存在和潜在的呼吸功能障碍。本文的目的是让大家对IMS有一个清晰的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intermediate Syndrome Following Organophosphate Poisoning; Review Article
Background: Organophosphates (OPs) are regularly utilized as pesticides all over the world. Exposures to OPs cause countless cases of poisoning and death annually. Organophosphates inebriation generates a range of muscarinic, nicotinic, and cholinergic side effects including both central and peripheral nervous systems. OP compound’s simple accessibility is responsible for expanding rates of pesticide poisoning and the fact that it is a noteworthy reason for morbidity and mortality that presents general medical issues in a growing district. Methods: I performed a review of the published literature. The databases Medline, Embase, Scopus and Google Scholar were searched using the terms intermediate syndrome, organophosphate induces intermediate syndrome and organophosphate poisoning. Databases were merged and a duplicate was removed. Results: In intense organophosphate poisoning, serious and delayed acetylcholinesterase restraint comes with oxidative stress, identified in erythrocyte membranes, that takes place in the initial phases of poisoning and may add to the progress and seriousness of intermediate syndrome (IMS). Conclusion: It normally appears 2-4 days after presentation when the side effects and indications of the intense cholinergic disorder (e.g., muscle fasciculations, muscarinic signs) are not evident anymore. However, IMS has been considered as a noteworthy causative factor of organophosphate-related morbidity and mortality due to its incessant presence and potential occurrence of breathing malfunction. The aim of the article is to bring down the clear idea about the IMS.
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来源期刊
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审稿时长
12 weeks
期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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