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Adverse drug reactions and acute poisoning reviews最新文献

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Phaeochromocytoma and adverse drug reactions. 嗜铬细胞瘤和药物不良反应。
Pub Date : 1988-02-01 DOI: 10.1097/00004714-198802000-00026
D. Davies
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引用次数: 8
Possible strategies for early recognition of potential drug safety problems. 早期识别潜在药物安全问题的可能策略。
J Venulet
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引用次数: 0
The toxicity of paraquat. 百草枯的毒性。
L L Smith
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引用次数: 0
Adverse reactions to drugs used in the treatment of tuberculosis. 治疗肺结核所用药物的不良反应。
S Nariman
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引用次数: 0
Carcinogenic drugs. 致癌药物。
G E Diggle
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引用次数: 0
Antidotal treatment of acute cyanide poisoning. 急性氰化物中毒的解毒治疗。
T C Marrs
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引用次数: 0
Drug safety and medication systems in hospitals. 医院的药品安全和用药系统。
R Haslam
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引用次数: 0
Toxicity of tin and its compounds. 锡及其化合物的毒性。
K A Winship

Inorganic tin salts are poorly absorbed and rapidly excreted in the faeces; as a result they have a low toxicity. Only about 5 per cent is absorbed from the gastrointestinal tract, widely distributed in the body, then excreted by the kidney. Some tin is deposited in lung and bone. Some tin salts can cause renal necrosis after parenteral doses. Mutagenic studies on metallic tin and its compounds have been negative. Long-term animal carcinogenic studies have shown fewer malignant tumours in animals exposed to tin than in controls. Human volunteers developed mild signs of toxicity with tin, given in fruit juices, at a concentration of 1400 mg per litre. The WHO 1973 permissible limit for tin in tinned food is 250 micrograms per kg. The adult daily intake of tin was about 17 mg per day in 1940, but it has now decreased to about 3.5 mg, due to improvements in technique of tinning with enamel overcoat and crimped lids to minimize exposure to tin and lead solder. This level is well below the level of 5-7 mg per kg body weight shown to give rise to toxic symptoms. Tin deficiency has not been described in man. Amounts in excess of 130 mg per day have been shown to accumulate in liver and kidneys. Many of the organotin compounds are toxic; the most toxic being trimethyltin and triethyltin, which are well absorbed from the gastrointestinal tract. Most of the other alkyl and aryltin compounds are poorly absorbed from the gastrointestinal tract, and are therefore less toxic when given orally than when given parenterally. The main results of toxicity are skin and eye irritation; cholangitis of the lower biliary tract, and later hepatotoxicity; and neurotoxicity, which has been shown to be due to intramyelin oedema induced by triethyltin, and neuronal necrosis caused by trimethyltin. Many of the organotin compounds affect mitochondrial oxidative phosphorylation and alter membranes, but the contribution of these biochemical and membrane effects in the cause of intramyelin oedema and neuronal necrosis has not been fully clarified. Widespread degeneration results, especially with trimethyltin. Peripheral neuropathy has not been reported as occurring with either inorganic or organic tin in humans. Certain dialkyltin compounds have been shown to cause adverse effects on cell-mediated immunity, specifically on the T cell lymphocyte. Experimental studies have failed to reveal any evidence of carcinogenicity, mutagenicity, or teratogenicity. Recent studies suggest that tin compounds exhibit some antitumour activity and may have a future role in cancer diagnosis and chemotherapy, and in controlling hyperbilirubinaemia.

无机锡盐吸收不良,随粪便迅速排出;因此,它们的毒性很低。只有约5%从胃肠道吸收,在体内广泛分布,然后由肾脏排出体外。一些锡沉积在肺和骨中。一些锡盐经肠外注射后可引起肾坏死。金属锡及其化合物的致突变性研究一直是否定的。长期的动物致癌研究表明,与对照组相比,接触锡的动物的恶性肿瘤较少。人类志愿者在果汁中加入浓度为每升1400毫克的锡后,出现了轻微的毒性迹象。世界卫生组织1973年规定,罐头食品中锡的允许限量为每公斤250微克。1940年,成年人每天的锡摄入量约为17毫克,但现在已降至3.5毫克左右,这是由于用珐琅涂层镀锡和压边盖的技术的改进,以尽量减少锡和铅焊料的接触。这一水平远低于每公斤体重5-7毫克可引起中毒症状的水平。没有人缺锡。每天超过130毫克的量会在肝脏和肾脏中积累。许多有机锡化合物是有毒的;毒性最大的是三甲基锡和三乙基锡,它们很容易被胃肠道吸收。大多数其他烷基和芳基锡化合物从胃肠道吸收不良,因此口服比非肠外给药毒性小。毒性的主要结果是刺激皮肤和眼睛;下胆道胆管炎,后来肝毒性;神经毒性,已被证明是由三乙基锡引起的髓内水肿和三甲基锡引起的神经元坏死引起的。许多有机锡化合物影响线粒体氧化磷酸化并改变膜,但这些生化和膜效应在髓内水肿和神经元坏死的原因中的作用尚未完全阐明。导致广泛的变性,尤其是三甲基锡。周围神经病变未见无机或有机锡在人体中发生的报道。某些二烷基素化合物已被证明对细胞介导的免疫,特别是对T细胞淋巴细胞产生不利影响。实验研究没有发现任何致癌、致突变或致畸的证据。最近的研究表明,锡化合物具有一定的抗肿瘤活性,可能在癌症诊断和化疗以及控制高胆红素血症中发挥作用。
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引用次数: 0
Active therapeutic approaches to drug intoxication. 药物中毒的积极治疗方法。
P K Li, K N Lai
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引用次数: 0
Teratogenesis in vitro. 体外致畸。
L Saxén
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引用次数: 0
期刊
Adverse drug reactions and acute poisoning reviews
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