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草乌,其主要成分乌头碱,具有祛湿止痛功效,民间常用于治疗风湿关节等,但因煎煮、炮制、使用不当,易引起急性中毒,主要表现为为恶心呕吐、口舌发麻、共济失调、心律失常等〔1〕。其中,快速进展的紊乱性心律失常是中毒患者死亡的主要原因〔2〕。急性草乌中毒常呈现散发特点,群体性发病少见。由于草乌中毒起病急骤,进展快速,缺乏特效的解毒药物,因此群体性草乌中毒救治复杂、困难。本文报道9例群体性急性草乌中毒的紧急救治及管理,为突发群体性急性中毒事件的医疗援救提供经验。
Aconitum, its main component aconitine, with dampness and analgesic effect, folk commonly used in the treatment of rheumatoid joints, but because of boiling, processing, improper use, easy to cause acute poisoning, mainly for nausea and vomiting, numb tongue, Ataxia, arrhythmia, etc. [1]. Among them, the rapid progress of the disorder of arrhythmia is the main reason for the death of poisoning 〔2〕. Acute poisoning is often characterized by sporadic outbreaks, rare group disease. As a result of its rapid onset, rapid progress, lack of special effects of antidotal drugs, so the treatment of group Acridida complex and difficult. This article reports the emergency treatment and management of 9 cases of group Acute Aconitum and provide experience for medical rescue of sudden group Acute poisoning cases.