MASSIVE STRYCHNINE INTOXICATION - SERIAL BLOOD-LEVELS IN A FATAL CASE

被引:27
作者
HEISER, JM
DAYA, MR
MAGNUSSEN, AR
NORTON, RL
SPYKER, DA
ALLEN, DW
KRASSELT, W
机构
[1] OREGON HLTH SCI UNIV, PORTLAND, OR 97201 USA
[2] US FDA, ROCKVILLE, MD 20857 USA
[3] LA GRANDE CLIN, LA GRANDE, OR USA
来源
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY | 1992年 / 30卷 / 02期
关键词
STRYCHNINE; POISONING; HUMAN; PHARMACOKINETICS; REVIEW;
D O I
10.3109/15563659209038638
中图分类号
R99 [毒物学(毒理学)];
学科分类号
100405 ;
摘要
A fatal case of strychnine intoxication is reported. The patient expired despite early aggressive management and prevention of metabolic complications. Serial blood levels are reported. In contrast to a previous report describing first order elimination kinetics, our data suggest that strychnine follows Michaelis-Menton elimination kinetics. The case illustrates the rapid, dramatic course of severe strychnine ingestions. A review of the toxicokinetics, mechanism of action and treatment of strychnine intoxication follows.
引用
收藏
页码:269 / 283
页数:15
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