尼泊尔中部儿童曼陀罗意外中毒病例报告

Bibek Regmi, Sudhir Adhikari, Sagun Khatri, Anjana Lamichhane
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摘要

曼陀罗是一种遍布尼泊尔的常见植物。它含有阿托品、山莨菪碱和东莨菪碱等生物碱,在中毒时可产生严重的抗胆碱能作用。它主要是在大湿婆节期间消费,作为一种娱乐和湿婆神的神圣祝福。我们想提出一个意外中毒的情况下,儿童食用神圣的食物与D.斯特拉姆在大湿婆罗伐日期间。仔细的病史记录和体格检查对早期诊断很重要。目击者的存在和早期到医院就诊有助于取得良好的结果。如果我们在进行文化仪式和庆祝节日时更加谨慎并遵循安全措施,可能会更有益。此外,我们需要意识到曼陀罗中毒可能导致的致命并发症。
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ACCIDENTAL DATURA POISONING IN A CHILD, A CASE REPORT FROM CENTRAL NEPAL
Datura stramonium is a common plant found all over Nepal. It contains alkaloids like atropine, hyoscyamine and scopolamine which can produce severe anti-cholinergic effects upon intoxication. It is mostly consumed during Mahashivaratri as a means of recreation and sacred blessing from lord Shiva. We would like to present a case of accidental poisoning in children by consuming sacred food mixed with D. stramonium during Mahashivaratri. Careful history taking and physical examination is important for early diagnosis. Presence of eye witness and early presentation to hospital contributes to favorable outcome. It may be more beneficial if we become more cautious and follow safety measures while performing cultural rituals and celebrating festivals. Also, we need to be aware of the possible fatal complications of Datura poisoning.
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