Children Tetramine Poisoning 48 Cases Clinical Analysis _137

by wrefsprqc on 2012-03-03 11:53:32

Children tetramine poisoning clinical analysis of 48 cases General clinical course. ②Core symptoms of convulsions, the form the Clonic was seizures or status epilepticus, convulsions stubbornly difficult to stop is an important feature; the convulsions heavy mortality is high. This group was status epilepticus in seven cases. 6 died. Non-epileptic state 41 cases. No one cases of death. When comparing the two (P <0.Ol exact test), the differences are significant. Tip: tetramine poisoning convulsions was status epilepticus who I bad. ③Convulsions disappeared or improved after 4-7 days to have episodes of panic to the surprise war or convulsions re-aggravate and generally lasts 1-2 days, or leave more of is also one of the characteristics of. The group of 35 cases (accounting for 83.3 percent of the children survived disease) this relapse. Six cases by early prophylactic use of Rumi that the initial convulsion absent. Tetramine poisoning antidote treatment: (1) should pay particular attention to early gastric lavage and early adequate doses of luminal (including ingestion without the occurrence of seizures). One case a large number of feed the experience of serving baby girl early unknown without a history of gastric lavage, resulting in convulsions of more than 20 days, and leave the serious sequelae; the children due to the repeated application of large doses of luminal and other measures to actively stop pumping so that the retention of life success is successful. That the six cases of sick children admitted to hospital has not yet occurred convulsions prophylactic application Rumi from severe convulsions occurred. Luminal application time can not be less than lO days, to prevent the symptoms about one week to reproduce. Was status epilepticus with sodium thiopental also only the twitch amplitude smaller, can not completely abort the convulsions. Stability and chloral hydrate applications do not see the obvious results. The luminal Animal experiments have shown the role of twist anti-tetramine. This group of patients show that large doses of luminal decreased significantly reduce seizure. Better than these other drugs. ②There were 161 adult patients with tetramine poisoning reports], its treatment of early blood fluorocarbon perfusion Having said that, a week after the body can still be measured to the poison. In this group in January after the examination of blood poison l7 cases, there is still poison were found to exist. More reports. Urinary tetramine content, can still be measured in urine after poisoning three months to tetramine]. Visible tetramine in the in vivo stability and residual for a long time, fluorocarbon perfusion or blood dialysis filter out the poison will be of great significance. The reported 161 cases of death and sequelae may be one of the smaller related to relative to this group of pediatric poison dose, the effect of fluorocarbon perfusion technology is also the reason. ③Have reported the two sulfonate treatment of tetramine poisoning, the hospital has also started the application, but the number of cases was small. Particularly severe small number of cases can not be evaluated. In recent years. Primary hospitals often see a lot of unexplained convulsions in children, speculation is very likely and highly toxic neurotoxic rodenticide (mainly Fluoroacetamide Tetramine) widely used relevant. Difficult to clear because of the children with their own history of swallowed poison. Therefore, the clinician should be alert to the rodenticide poisoning and the clinical features of various poisoning (fluoroacetamide poisoning main symptoms are convulsions, but the incidence is slightly later than the tetramine, convulsions and easy to control. There is no the convulsions recurrence). Hospitals should be established cooperation with public security organs on laboratory poison detection methods. To establish the diagnosis in favor of treatment (Fluoroacetamide antidote acetamide). In addition, the community should be promoted as scientific rodent control. Limit the highly toxic rat poison, highly toxic rat poison in order to reduce crimes against humanity.