论文部分内容阅读
1例44岁男性误食海芋块根,数分钟后出现口唇麻木、咽喉疼痛、恶心、呕吐、流涎、呼吸困难、发音困难等症状,中毒后20 min入院,诊断为急性喉头水肿。给予静脉推注苯海拉明20 mg、地塞米松5 mg和静脉滴注地塞米松10 mg等处理,并行吸氧、保肝等对症治疗。中毒5 h后症状逐渐好转,50 d后痊愈。海芋是天南星科海芋属有毒植物,含有皂素毒苷及草酸钙等。口服后可致神经和胃肠系统症状,潜伏期一般为10～30 min,严重者可致死亡;皮肤或者眼接触海芋汁液会导致皮肤瘙痒、结膜炎,甚至失明。吸入含有海芋的粉尘后也可对眼、鼻腔及咽喉黏膜产生强烈刺激而引起相关症状。中毒诊断主要依据接触史和临床表现。海芋中毒无明确特效解毒剂,以对症治疗为主。
A 44-year-old man ate the root of the calluses. After a few minutes, numbness of the lips, sore throat, nausea, vomiting, salivation, dyspnea and dysarthria were observed. The patients were admitted to hospital after 20 minutes of poisoning and were diagnosed as acute laryngeal edema. Given intravenous injection of diphenhydramine 20 mg, dexamethasone 5 mg and intravenous dexamethasone 10 mg and other treatment, parallel oxygen, liver and other symptomatic treatment. After 5 hours of poisoning, the symptoms gradually improved and recovered after 50 days. Arum is Araceae Arum is poisonous plants, containing saponin and calcium oxalate and so on. After oral administration can cause nervous and gastrointestinal symptoms, the incubation period is generally 10 ~ 30 min, severe cases can cause death; skin or eye contact with taro juice can cause itchy skin, conjunctivitis, and even blindness. Inhalation of taro containing dust can also be eye, nose and throat mucosa caused by strong stimulation caused the symptoms. The main diagnosis of poisoning based on contact history and clinical manifestations. Taro poisoning no specific effect antidote, symptomatic treatment based.