噻虫嗪中毒引发抽搐、昏迷急诊处置1例

Emergency Treatment of a Case of Thiamethoxam Poisoning Induced Convulsions and Coma

摘要: 患者青年男性，自服噻虫嗪杀虫剂，服用2小时后感恶心、呕吐，伴有腹痛不适就诊，急诊给予洗胃、补液促进毒物排泄、留观等处置，期间神志清、生命体征平稳；服用13小时后患者出现舌体麻木、四肢抽搐、意识不清、口唇紫绀，立即给予地西泮静脉注射控制抽搐、气管插管呼吸支持等综合处置后收住院，给予控制抽搐等综合治疗，未再抽搐、神志清，病情改善，出院。

Abstract: The patient, a young male, experienced nausea and vomiting 2 hours after taking thiamethoxam insecticide, and sought treatment with abdominal pain and discomfort. The patient was given gastric lavage, liquid rehydration to promote the excretion of poison, and kept under observation in the emergency department. During this period, he was conscious and his vital signs were stable; 13 hours after taking thiamethoxam, the patient developed numbness of the tongue, convulsions of the limbs, confusion and cyanosis of the lips. After comprehensive treatment such as intravenous injection of diazepam to control convulsions and tracheal intubation respiratory support, he was admitted to the hospital and given comprehensive treatment such as control convulsions. He did not have convulsions again and became conscious. His condition improved and he was discharged.