A case of glufosinate-ammonium poisoning in a patient with total gastrectomy
10.3760/cma.j.cn121094-20201127-00653
- VernacularTitle:全胃切除术后草铵膦中毒一例
- Author:
Xiaomin ZHANG
1
;
Hao SUN
;
Jinsong ZHANG
;
Deliang HU
;
Qin ZHANG
Author Information
1. 210029 南京医科大学第一附属医院急诊医学科
- Keywords:
Pesticides;
Glufosinate-ammonium;
Total gastrectomy;
Acute poisoning;
Toxicokinetics;
Toxicant detection
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2021;39(5):366-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the diagnosis and treatment of a patient with glufosinate-ammonium poisoning after total gastrectomy.Methods:The clinical data of a patient with oral glufosinate-ammonium poisoning after total gastrectomy in the First Affiliated Hospital of Nanjing Medical University in August 2020 were analyzed.Results:After total gastrectomy, the patient took about 200 ml of glufosinate-ammonium orally, and the plasma glufosinate-ammonium concentration was 816.8 ng/ml 6.5 h after poisoning. After symptomatic treatment such as promoting poison excretion, rehydration, anti infection and protecting important organs, the patient improved and discharged.Conclusion:The clinical manifestations of patients with glufosinate-ammonium poisoning after total gastrectomy are still mainly neurological symptoms, with delayed effect. Whether total gastrectomy will affect the distribution and toxic effect of the poison still needs further exploration.
