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題 名 | 農藥納乃得(Methomyl)殉情案例報告及文獻回顧=Fatal and Nonfatal Methomyl Poison in a Double Suicide |
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作 者 | 鍾明燈; 方中民; 蕭開平; 林棟樑; | 書刊名 | 國防醫學 |
卷 期 | 29:2 1999.08[民88.08] |
頁 次 | 頁155-158 |
分類號 | 418.733 |
關鍵詞 | 納乃得; 氣相層析質譜分析法; 自殺; Methomyl; GC/MS; Methomyl posion; Suicide; |
語 文 | 中文(Chinese) |
中文摘要 | 農藥用殺蟲劑 ,大多數是膽素脂酵素抑制劑(cholinesterase inhibitors), 膽素脂酵素抑制劑分為兩大類, 一為有機磷酸鹽, 另一為氨基甲酸鹽( ethyl carbamate )。此兩大類的毒性和化學性均不相同。氨基甲酸鹽的作用在於磷酸脂和非活動性膽素脂酵 素的結合,可形成大量醋酸膽素( acetylcholine ),而引起全身性的影響。 此結合作用 是可因時間而逆轉,一般症狀的過程不超過八小時,所出現的症狀,較者可自行復元,症狀 重者,若不即時治療,可危及生命,但若經適當治療,可挽回生命。 |
英文摘要 | A 34 year-old man and his 32 year-old girifriend attempted double suicide by ingesting watermelon juice with methomyl powder. She said that she felt stupor soon after ingestion her boyfriend help her to lie on bed, then she feet unconscious hypotonia, fasciculation and urinary incontinence. She woke up 13 hours after ingestion. After bathing she found her boy friend was dead. No specific disease or definite cause of death was found at autopsy examination except for pupil constriction and pulmonary edema. His blood, gastric contents were negative for methomyl by GC/MS, Her remaining half cup of watermelon juice containing methomyl by GC/MS. We considerated that the man's death was suicide with methomyl because we found his suicide note. We concluded that patients with methomyl poisoning could be saved within 24 - 48 hours by gastric lavage, skin washing, adminstration of activated charcoal, and small dose of atropine. |
本系統中英文摘要資訊取自各篇刊載內容。