文章基本信息

标题：Manifestation ,complications and clinical outcome in paraquat poison ? A hospital based study in a rural area of Karnataka
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作者：Tanveer Hassan Banday ; Sadaf Bashir Bhat ; Sabreen Bashir Bhat 等
期刊名称：Journal of Environmental and Occupational Science
印刷版ISSN：2146-8311
出版年度：2014
卷号：3
期号：1
页码：21-24
DOI：10.5455/jeos.20140127031530
出版社：International Medical Journal Management and Indexing System
摘要：Background; Paraquat is a broad spectrum liquid herbicide, leading to severe and often fatal toxicity. Most cases of intoxication, especially in third-world countries are due to suicidal attempts rather than homicidal or accidental exposure, because of its widespread availability and relative low cost. Diagnosis is often difficult in the absence of proper history, nonspecific clinical features, and lack of diagnostic tests. Objective; To describe the variability in presentation , primary outcome from intentional poisoning and to review its impact on morbidity and mortality of poisoning. Results; We report a case series of eight patients with paraquat poisoning who presented predominantly with pain in throat and vomiting .Out of eight cases six patients died despite intensive treatment. Most deaths occurred within in two weeks. Conclusion; Paraquat poison is highly lethal or deadly poison with very high mortality rate of around 70 to 80%.Also presentation may be variable and sometimes patient may present with mild symptoms with normal vitals or may remain asymptomatic for first few days. Although even in such cases morbidity and mortality of poison may be very high .
关键词：Paraquat; Herbicide; Acute respiratory distress syndrome and multi organ failure.