JEM reports

Pub Date : 2024-11-20 DOI: 10.1016/j.jemrpt.2024.100127

Amna Nawaz , Denise Elizondo , Rebecca G. Theophanous

Background

Perinephric hematomas are defined by hemorrhage originating from the kidney parenchyma into the subcapsular and perirenal spaces. Spontaneous perinephric hematomas are rare and usually occur due to an underlying renal mass, vascular abnormality, coagulation disorder, or inflammatory disorder. The classic clinical presentation includes acute flank pain, hemorrhagic shock, and detection of a renal mass. Diagnosis is by computed tomography (CT), ultrasound, or angiography.

Case report

A 74-year-old male with coronary artery disease, severe heart failure, and atrial fibrillation/flutter on apixaban presented to the emergency department (ED) with left-sided abdominal and back pain for two weeks. He denied urinary symptoms, fever, or vomiting. The patient was hypotensive with low hemoglobin (8.9g/dL), thus he received blood transfusions and apixaban reversal for hemorrhagic shock. CT scan diagnosed a 10x9 cm perinephric hematoma, and he was transferred to our hospital’s ED. Point-of-care ultrasound demonstrated a left perinephric hematoma and clotted blood in the splenorenal recess. Urology and interventional radiology (IR) were consulted, with emergent transport to IR for angiogram and left coil embolization then intensive care unit admission.

Why should an emergency medicine physician be aware of this

This case describes important diagnostic testing and bedside ultrasound utility in expediting care for patients with renal pathology. It describes a case of spontaneous renal hemorrhage and management steps including IR embolization, urology involvement, and evaluation for surgical intervention. Finally, we emphasize potential serious complications including chronic renal failure, pyelonephritis, renal obstruction, and permanent kidney distortion if disease is not recognized and treated early.

背景肾周围血肿是指从肾实质向肾囊下和肾周间隙的出血。自发性肾周围血肿非常罕见，通常是由于潜在的肾肿块、血管异常、凝血障碍或炎症性疾病引起的。典型的临床表现包括急性侧腹疼痛、失血性休克和发现肾肿块。病例报告一名 74 岁的男性患者因左侧腹部和背部疼痛两周而到急诊科就诊，他患有冠状动脉疾病、严重心力衰竭和心房颤动/扑动，正在服用阿哌沙班。他否认有泌尿系统症状、发烧或呕吐。患者血压低，血红蛋白低（8.9g/dL），因此接受了输血和阿哌沙班治疗失血性休克的逆转治疗。CT 扫描诊断为 10x9 厘米肾周血肿，患者被转至我院急诊科。床旁超声检查显示左肾周围血肿，脾肾凹陷处有凝血。泌尿外科和介入放射科（IR）会诊后，紧急送往介入放射科进行血管造影和左侧线圈栓塞术，然后送入重症监护室。急诊科医生为什么要注意这个病例这个病例描述了重要的诊断测试和床旁超声在加快肾脏病变患者治疗方面的作用。它描述了一例自发性肾出血和处理步骤，包括红外栓塞、泌尿科介入和手术干预评估。最后，我们强调了潜在的严重并发症，包括慢性肾功能衰竭、肾盂肾炎、肾梗阻，以及如果不及早发现和治疗，将导致永久性肾变形。

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引用次数: 0

Symptomatic complete heart block: A rare complication of anterior myocardial infarction in a young, fit male: A case report 症状性完全性心脏传导阻滞：体格健壮的年轻男性前心肌梗死的罕见并发症：病例报告

JEM reports

Pub Date : 2024-11-19 DOI: 10.1016/j.jemrpt.2024.100129

Huang Huiling , Lee Keyao , Zhang Yuan Helen

Background

Acute myocardial infarction (AMI) is a major cause of morbidity and mortality, typically affecting older individuals with multiple cardiovascular comorbidities. Complete heart block (CHB) is a rare but serious complication of AMI, requiring prompt intervention. We present a case of AMI involving total occlusion of the proximal left anterior descending (LAD) coronary artery, leading to CHB and alternating bundle branch blocks, requiring temporary pacing. The patient was discharged with good outcomes.

Case report

A 41-year-old Indian male with no significant past medical history presented with chest discomfort and abnormal electrocardiogram (ECG) findings. Emergency percutaneous coronary intervention (PCI) revealed critical proximal LAD occlusion and moderate disease in the other coronary arteries. The patient developed trifascicular block and subsequent episodes of alternating right and left bundle branch block, necessitating temporary pacing. Despite the complex arrhythmias resulting from his anterior AMI and the transient need for a temporary pacing wire, the patient showed remarkable improvement post-revascularization, with no requirement for a permanent pacemaker at discharge.

Why should an Emergency Physician be aware of this?

This case highlights that CHB can occur with anterior, not just inferior MI. When associated with anterior MI, there is extensive myocardial injury and a high risk of conduction abnormalities, which can potentially be permanent. While AMI can cause a range of complications, CHB tends to be rarer in LAD occlusion based on the anatomy it supplies. Recognizing and promptly treating both the primary lesion and its complications especially in the younger patients, can improve outcomes.

背景急性心肌梗死（AMI）是发病和死亡的主要原因，通常影响患有多种心血管并发症的老年人。完全性心脏传导阻滞（CHB）是急性心肌梗死罕见但严重的并发症，需要及时干预。我们介绍了一例急性心肌梗死病例，患者左前降支（LAD）冠状动脉近端完全闭塞，导致完全性心脏传导阻滞和交替性束支传导阻滞，需要临时起搏。病例报告一名 41 岁的印度男性因胸部不适和异常心电图（ECG）发现而就诊，既往无明显病史。急诊经皮冠状动脉介入治疗（PCI）发现左上臂近端严重闭塞，其他冠状动脉中度病变。患者出现了三束支传导阻滞，随后又出现了左右束支交替传导阻滞，不得不进行临时起搏。尽管前部急性心肌梗死导致复杂的心律失常，而且需要使用临时起搏导线，但患者在血管重建后病情明显好转，出院时无需使用永久起搏器。如果伴有前心肌梗死，则会造成广泛的心肌损伤，并极有可能出现永久性传导异常。虽然急性心肌梗死可导致一系列并发症，但基于其所提供的解剖结构，CHB 在 LAD 闭塞中往往较为罕见。识别并及时治疗原发病变及其并发症，尤其是年轻患者，可以改善预后。

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引用次数: 0

Case of monocular visual impairment 单眼视力障碍病例

JEM reports

Pub Date : 2024-11-17 DOI: 10.1016/j.jemrpt.2024.100128

Lev Libet, Edward McCrink, Lawrence Liu

引用次数: 0

Upper gastrointestinal bleeding: A rare presenting sign of pediatric hypothyroidism 上消化道出血：小儿甲状腺功能减退症的罕见症状

JEM reports

Pub Date : 2024-11-10 DOI: 10.1016/j.jemrpt.2024.100126

Nicholas Aldredge , Sara A. DiVall , Yongtian T. Tan

Background

Severe pediatric hypothyroidism is a relatively rare endocrine disorder characterized by inadequate thyroid hormone production or action in children. It can have significant effects on various organ systems, including the gastrointestinal (GI) tract, and cause upper GI bleeding (UGIB). It can be challenging to diagnose as the cause in the emergency department (ED).

Case report

We present the case of a 13-year-old previously healthy male presenting with hematemesis as the chief complaint to the pediatric emergency department, who was subsequently found to have severe hypothyroidism based on a constellation of vital sign abnormalities in the absence of other likely etiologies. This case illustrates the importance of considering endocrinopathies as part of the overall differential diagnoses for a pediatric patient presenting with isolated hematemesis, especially if there is a disparity between vital signs and other clinical signs.

Why should an emergency physician be aware of this?

Recognizing pediatric hypothyroidism as a potential cause of UGIB presents a particular diagnostic challenge for emergency physicians. Symptoms of pediatric hypothyroidism can be varied, and UGIB in this setting is a rare and poorly understood clinical entity. Timely diagnosis and treatment of hypothyroidism are crucial to prevent further complications and optimize the child's growth and development.

背景严重的小儿甲状腺功能减退症是一种相对罕见的内分泌疾病，其特点是儿童体内甲状腺激素分泌或作用不足。它可能对包括胃肠道在内的多个器官系统产生重大影响，并导致上消化道出血（UGIB）。病例报告我们介绍了这样一个病例：一名 13 岁的健康男性以吐血为主诉到儿科急诊就诊，随后根据一系列生命体征异常发现他患有严重的甲状腺功能减退症，但没有其他可能的病因。本病例说明，对于出现孤立性吐血的儿科患者，将内分泌疾病作为整体鉴别诊断的一部分非常重要，尤其是在生命体征与其他临床体征不一致的情况下。小儿甲状腺功能减退症的症状多种多样，在这种情况下发生的 UGIB 是一种罕见且鲜为人知的临床症状。及时诊断和治疗甲状腺功能减退症对于预防进一步的并发症和优化儿童的生长发育至关重要。

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引用次数: 0

Tamsulosin-induced priapism: A case report 坦索罗辛诱发的前列腺增生症：病例报告

JEM reports

Pub Date : 2024-11-07 DOI: 10.1016/j.jemrpt.2024.100125

Julie Martino , Zane Elfessi , Heather Webster

Background

Priapism is a persistent erection generally lasting more than 4 h. Types of priapism include recurrent, ischemic, and non-ischemic and are generally classified based on penile arterial blood flow. Priapism can be induced by hematologic disorders (i.e. sickle cell anemia), infections, recreational drug use, and medication use. Tamsulosin is an α_1A receptor antagonist commonly used in the treatment of LUTS and benign prostatic hyperplasia (BPH).

Case report

We report a case of priapism lasting 48 hours due to tamsulosin. Aspiration and irrigation of the corpus cavernosa and intracavernosal injection of phenylephrine were performed without success. A penile blood gas revealed a pH of 6.92, pCO2 of 108 mmHg, pO2 of 40 mmHg, and HCO3 of 22.2 mmol/L—indicating ischemic priapism. A T-shunt was performed through the glans with moderate detumescence—the penis was able to bend at least 60° in all directions and 90° ventrally. The patient had a computed tomographic angiography (CTA) of the pelvis and a magnetic resonance angiography (MRA) 1 and 3 months later, respectively, which indicated proper flow and the absence of arteriovenous malformations.

Why should an EM Physician be aware of this?

Despite its attractive nature for the treatment of LUTS or BPH, because of α_1A receptor selectivity, tamsulosin should be recognized as a culprit of priapism. Because of the high affinity for the α_1A receptor, patients on tamsulosin may not respond to traditional medical therapies for priapism and therefore may require surgical intervention.

Priapism 的类型包括复发性、缺血性和非缺血性，一般根据阴茎动脉血流进行分类。血液系统疾病（如镰状细胞性贫血）、感染、使用娱乐性药物和使用药物都可能诱发勃起功能障碍。坦索罗辛是一种α1A受体拮抗剂，常用于治疗尿失禁和良性前列腺增生症（BPH）。对阴茎海绵体进行了抽吸和冲洗，并在阴茎海绵体内注射了苯肾上腺素，但均未奏效。阴茎血气显示pH值为6.92，pCO2为108 mmHg，pO2为40 mmHg，HCO3为22.2 mmol/L--表明患者患有缺血性前列腺肥大症。通过龟头进行了 T 型分流术，中度消肿--阴茎在各个方向至少可以弯曲 60°，在腹侧可以弯曲 90°。患者分别在 1 个月和 3 个月后接受了骨盆计算机断层扫描（CTA）和磁共振血管造影（MRA）检查，结果显示血流正常且无动静脉畸形。为什么急诊科医生应该注意这一点？尽管坦索罗辛在治疗 LUTS 或良性前列腺增生症方面很有吸引力，但由于其具有 α1A 受体选择性，因此应该认识到坦索罗辛是导致早泄的罪魁祸首。由于坦索罗辛对α1A受体具有高亲和力，服用坦索罗辛的患者可能对治疗尿失禁的传统药物疗法无效，因此可能需要手术干预。

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引用次数: 0

Double duty: Successful management of a late second trimester severe burn 双重职责：成功救治一名孕晚期重度烧伤患者

JEM reports

Pub Date : 2024-10-29 DOI: 10.1016/j.jemrpt.2024.100124

Mel Ebeling , Janet Julson , Emily W. Baird , Ashley Shea , Samantha Baker

Background

Thermal burns during pregnancy are rare but life-threatening emergencies associated with significant morbidity and mortality. Currently, principles of management center around fluid resuscitation based on formulas established for nonpregnant patients and supportive care, as data on the optimal management of pregnant burn patients is limited.

Case report

We present the case of a 23-year-old G2P1 at 26 weeks gestational age who presented to the emergency department with 52 % total body surface area (TBSA) burns and inhalation injury sustained during a house fire. She was initially managed with both standard burn fluid resuscitation and vasopressors to maintain perfusion before undergoing an emergent delivery 3 h after her initial presentation. Ultimately, she underwent five surgical debridements with split-thickness skin grafting before being discharged on hospital day 60. Her infant was treated for prematurity-associated respiratory distress syndrome and was discharged on hospital day 82 without any other major complications.

Why should an emergency physician be aware of this?

Thermal burns in pregnancy are high-risk, low-frequency events that require the competent, rapid consideration of numerous factors to optimize outcomes for both the mother and fetus. This case describes the effective management of maternal hemodynamics with early standard fluid resuscitation and vasopressors, though highlights the need for future studies identifying the role of fluids and vasopressors in supporting pregnant patients with burn injuries and their fetuses.

背景妊娠期热烧伤是一种罕见的危及生命的急症，发病率和死亡率都很高。目前，由于有关妊娠期烧伤患者最佳治疗方法的数据有限，治疗原则主要是根据为非妊娠期患者制定的公式进行液体复苏和支持性护理。病例报告我们介绍了一例 23 岁的 G2P1 患者，胎龄 26 周，因房屋火灾导致总体表面积（TBSA）52% 烧伤和吸入性损伤而到急诊科就诊。她最初接受了标准烧伤液体复苏和血管加压以维持血流灌注，然后在初次就诊 3 小时后进行了紧急分娩。最后，她接受了五次手术清创和分层植皮，于第 60 天出院。她的婴儿接受了早产儿呼吸窘迫综合征的治疗，并于第 82 天出院，没有出现任何其他重大并发症。为什么急诊医生应该注意这一点？妊娠期热烧伤是一种高风险、低频率的事件，需要迅速、有效地考虑多种因素，以优化母亲和胎儿的预后。本病例描述了通过早期标准液体复苏和血管加压素对母体血液动力学的有效管理，但强调了未来研究确定液体和血管加压素在支持烧伤孕妇及其胎儿方面作用的必要性。

{"title":"Double duty: Successful management of a late second trimester severe burn","authors":"Mel Ebeling , Janet Julson , Emily W. Baird , Ashley Shea , Samantha Baker","doi":"10.1016/j.jemrpt.2024.100124","DOIUrl":"10.1016/j.jemrpt.2024.100124","url":null,"abstract":"<div><h3>Background</h3><div>Thermal burns during pregnancy are rare but life-threatening emergencies associated with significant morbidity and mortality. Currently, principles of management center around fluid resuscitation based on formulas established for nonpregnant patients and supportive care, as data on the optimal management of pregnant burn patients is limited.</div></div><div><h3>Case report</h3><div>We present the case of a 23-year-old G2P1 at 26 weeks gestational age who presented to the emergency department with 52 % total body surface area (TBSA) burns and inhalation injury sustained during a house fire. She was initially managed with both standard burn fluid resuscitation and vasopressors to maintain perfusion before undergoing an emergent delivery 3 h after her initial presentation. Ultimately, she underwent five surgical debridements with split-thickness skin grafting before being discharged on hospital day 60. Her infant was treated for prematurity-associated respiratory distress syndrome and was discharged on hospital day 82 without any other major complications.</div></div><div><h3>Why should an emergency physician be aware of this?</h3><div>Thermal burns in pregnancy are high-risk, low-frequency events that require the competent, rapid consideration of numerous factors to optimize outcomes for both the mother and fetus. This case describes the effective management of maternal hemodynamics with early standard fluid resuscitation and vasopressors, though highlights the need for future studies identifying the role of fluids and vasopressors in supporting pregnant patients with burn injuries and their fetuses.</div></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 4","pages":"Article 100124"},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prolonged fever complicated by petechiae in an immunocompetent adult with primary CMV infection: A case report 一名免疫功能正常的成年人因原发性巨细胞病毒感染而长期发热并伴有瘀斑：病例报告

JEM reports

Pub Date : 2024-10-18 DOI: 10.1016/j.jemrpt.2024.100123

Emilie Fraisse , Mads Emil Bruusgaard-Mouritsen , Rasmus Gregersen

Background

While petechiae can be a sign of a serious underlying condition, the majority are benign. Frequently, an underlying cause is not identified despite extensive diagnostic testing. Petechiae may be caused by CMV infection which is rarely considered in the differential diagnostic process. Most immunocompetent adults with primary CMV infection are asymptomatic or develop a mononucleosis-like syndrome with fever and mild hepatitis.

Case report

We report the case of a 30-year-old man who presented to an out-of-hours general physician consult with intermittent fever for three weeks. Examination showed petechiae on the upper extremities. Initial laboratory data revealed lymphocytosis and elevated liver enzyme tests. Further testing showed positive CMV throat swab and CMV/EBV immunoglobulin M and G. His symptoms resolved gradually without any treatment.

Why should an emergency physician be aware of this?

This report shows that primary CMV infection can be a cause of petechiae. Emergency physicians should keep in mind that although uncommon, immunocompetent adults can experience acute symptomatic CMV infections characterized by an extended disease course and testing may avoid unnecessary and extensive diagnostic workup and repeated hospital contacts.

背景虽然瘀斑可能是严重潜在疾病的征兆，但大多数瘀斑是良性的。尽管进行了广泛的诊断检测，但仍经常无法确定潜在的病因。瘀斑可能由 CMV 感染引起，但在鉴别诊断过程中很少考虑到这一点。大多数免疫功能正常的成人原发性 CMV 感染者没有症状，或出现类似单核细胞增多症的综合征，伴有发热和轻度肝炎。检查显示其上肢有瘀斑。初步实验室数据显示淋巴细胞增多，肝酶检测升高。进一步检查显示，CMV 喉拭子阳性，CMV/EBV 免疫球蛋白 M 和 G 阳性。他的症状在没有任何治疗的情况下逐渐缓解。急诊医生应牢记，免疫功能正常的成年人也可能出现急性无症状的 CMV 感染，虽然这种情况并不常见，但病程会延长。

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引用次数: 0

The voltage Dilemma in electrocardiogram (ECG) 心电图（ECG）中的电压难题

JEM reports

Pub Date : 2024-10-16 DOI: 10.1016/j.jemrpt.2024.100121

Ezhilkugan Ganessane , B.G. Kowsthubha , V.T. Amrithanand , Anas Mohammed Muthanikkatt , Vasudha Dinesh

Background

Pericardial effusion involves fluid buildup around the heart, potentially leading to cardiac tamponade—a critical condition that can impair heart function. Symptoms vary widely from mild to life-threatening. An electrocardiogram (ECG) is crucial for initial assessment, but interpreting findings can be challenging, especially when classic signs like low voltage QRS complexes are absent. Recognising new voltage changes from the baseline ECG is crucial even when traditional low voltage criteria are not met. Understanding these nuances and their clinical significance is essential for timely diagnosis and effective treatment, highlighting the importance of careful ECG interpretation by emergency physicians.

Case report

A 57-year-old male, diagnosed with chronic kidney disease and recently initiated on anti-tubercular treatment for pulmonary tuberculosis, presented to the emergency department with worsening shortness of breath. The baseline ECG a month prior revealed normal sinus rhythm with right atrial enlargement (RAE) and left ventricular hypertrophy (LVH). Upon presentation, the ECG revealed sinus tachycardia without P pulmonale or LVH, suggesting a potential dynamic change. Point-of-care ultrasound (POCUS) confirmed moderate pericardial effusion with early right ventricular diastolic collapse.

Why should an emergency physician be aware of this?

A new decrease in QRS voltages and sinus tachycardia should prompt suspicion of pericardial effusion. Emergency physicians need to understand the complexity of new voltage changes in ECGs. The challenge lies in relying solely on standard ECG criteria, emphasising the importance of considering individual baseline variations. Recognising such subtle ECG changes is crucial for diagnosing and treating cardiac tamponade early, leading to better patient outcomes.

背景心包积液是指心脏周围积液，有可能导致心脏填塞--一种会损害心脏功能的严重疾病。症状从轻微到危及生命，差别很大。心电图（ECG）是初步评估的关键，但解释检查结果可能具有挑战性，尤其是在没有低电压 QRS 波群等典型体征的情况下。即使不符合传统的低电压标准，识别基线心电图的新电压变化也至关重要。了解这些细微差别及其临床意义对于及时诊断和有效治疗至关重要，这也凸显了急诊医生仔细判读心电图的重要性。病例报告一位 57 岁的男性被诊断患有慢性肾病，最近因肺结核开始接受抗结核治疗。一个月前的基线心电图显示窦性心律正常，伴右心房扩大（RAE）和左心室肥厚（LVH）。就诊时，心电图显示为窦性心动过速，但无肺动脉高压或左心室肥厚，表明可能存在动态变化。为什么急诊医生应该注意这一点？QRS 波形的新近降低和窦性心动过速应引起对心包积液的怀疑。急诊医生需要了解心电图中新电压变化的复杂性。仅依靠标准心电图标准是一项挑战，强调考虑个体基线变化的重要性。识别这种微妙的心电图变化对于早期诊断和治疗心脏填塞症至关重要，可改善患者的预后。

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引用次数: 0

Small bowel volvulus associated with mesenteric rent caused by hemorrhaging right common iliac artery aneurysm 右髂总动脉瘤出血引起的肠系膜撕裂伴有小肠肠卷

JEM reports

Pub Date : 2024-10-16 DOI: 10.1016/j.jemrpt.2024.100122

Dylan Z. Taylor, Christiaan van Nispen, Brit Long

Background

Small bowel volvulus is a rare but serious condition in which a segment of small bowel twists about its mesentery, potentially resulting in obstruction, ischemia, and perforation. In adults, it results most frequently from adhesions and intra-abdominal masses.

Case report

We present the case of a 76-year-old male presenting to the emergency department with severe abdominal distention, tenderness, and guarding from a small bowel volvulus due to an adjacent mesenteric rent. This was seemingly caused by massive retroperitoneal hemorrhage from a ruptured proximal right common iliac artery aneurysm.

"Why should an emergency physician be aware of this?"Although cases of small bowel volvulus associated with mesenteric rents are present in the literature, this appears to be the first precipitated by a ruptured common iliac artery aneurysm.

背景小肠旋转是一种罕见但严重的疾病，即一段小肠围绕其肠系膜旋转，可能导致梗阻、缺血和穿孔。在成人中，它最常见于粘连和腹腔内肿块。本病例报告了一名 76 岁男性的病例，他因邻近肠系膜空洞引起的小肠旋转而导致严重的腹胀、压痛和戒备状态而到急诊科就诊。这似乎是由右侧髂总动脉瘤近端破裂引起的大量腹膜后出血造成的。"为什么急诊医生应该注意这一点？"虽然文献中存在肠系膜裂孔引起的小肠外翻病例，但这似乎是第一例由髂总动脉瘤破裂引起的小肠外翻。

引用次数: 0

Surgical treatment for Abrus precatorius poisoning case Abrus precatorius 中毒病例的手术治疗

JEM reports

Pub Date : 2024-09-28 DOI: 10.1016/j.jemrpt.2024.100118

Lingling Hou

Background

The seeds of Abrus precatorius are highly poisonous with no antidote available and are often consumed as a means of suicide. To date, there are no clear treatment strategies for Abrus poisoning induced by ingestion.

Case report

Here, we report a case in which a large number of Abrus precatorius seeds was successfully removed using gastrointestinal surgery to rescue the patient.

Why should an emergency physician be aware of this?

Abrus precatorius, as a rare but important cause of plant poisoning, is usually being unrecognized even by emergency physicians in China because of its scarce documentation in the Chinese medical literature. In managing such instances of intoxication, conventional gastric emptying techniques prove insufficient to effectively address the toxicity. Through this report, we hope to raise public awareness regarding this highly toxic plant. We also aim to offer a treatment reference for clinicians encountering similar situations.

背景Abrus precatorius的种子有剧毒，且无解毒剂，经常被作为自杀手段食用。为什么急诊医生应该注意到这一点？Abrus precatorius作为一种罕见但重要的植物中毒原因，由于在中国医学文献中的记载很少，甚至通常不被中国的急诊医生所认识。在处理此类中毒时，传统的胃排空技术被证明不足以有效解决中毒问题。我们希望通过本报告提高公众对这种剧毒植物的认识。我们还希望为遇到类似情况的临床医生提供治疗参考。

引用次数: 0