背景:Reutealistrisperma是一种属于Euphoriaceae科和Reutealis属的植物,经常被误认为是Aleurites属的植物。在台湾,意外摄入Rtrisperma种子比Verniciafordii的种子相对较少。大多数情况下,Rtrisperma种子中毒的临床过程与Vfordii中毒相似。最近的研究表明,小鼠中Rtrisperma种子的中位致死剂量50约为4954mg/kg。Rtrisperma种子提取物通过引起下垂和扰乱呼吸对自主神经系统有显著影响,并通过减少运动活动影响中枢神经系统。
方法:一名患有基础痛风和乙型肝炎的51岁男子摘下了几颗三叶草的种子,他在栗子上误认了,在一所小学。他通过煮沸3至4粒种子来准备汤并食用。他经历了腹痛,呕吐,水样腹泻伴有低血压.
方法:三叶草种子中毒。
方法:患者给予软饮食,输入和输出被记录,并给予静脉补液。
结果:患者住院3天后出院,一旦达到相对稳定的状态。
结论:在台湾,意外食用Rtrisperma种子引起的人类中毒相对较少。它可能导致胃肠道症状甚至低血压。患者可以在接受适当治疗和静脉输液后2至3天内康复。
BACKGROUND: Reutealis trisperma is a plant belonging to the
Euphorbiaceae family and Reutealis genus and is often mistaken for a plant of the genus Aleurites. Accidental ingestion of R trisperma seeds is relatively rare in Taiwan than that of Vernicia fordii. Mostly, the clinical course of R trisperma seed poisoning is similar to that of V fordii poisoning. Recent studies have shown that the median lethal dose 50 of R trisperma seeds in mice is approximately 4954 mg/kg. R trisperma seed extract has a significant effect on the autonomic nervous system by causing ptosis and disrupting breathing, and affects the central nervous system by reducing motor activity.
METHODS: A 51-year-old man with underlying gout and hepatitis B picked several seeds of R trisperma, which he misidentified at chestnuts, at an elementary school. He prepared soup by boiling 3 to 4 seeds and consumed it. He experienced abdominal pain, vomiting, and watery diarrhea with hypotension.
METHODS: R trisperma seeds intoxication.
METHODS: The patient was given a soft diet, input and output were recorded, and intravenous fluid supplements were administered.
RESULTS: The patient was discharged after 3 days of hospitalization, once a relatively stable condition was achieved.
CONCLUSIONS: Human poisoning by accidental consumption of R trisperma seeds is relatively rare in Taiwan. It may cause gastrointestinal symptoms and even hypotension. Patients can recover within 2 to 3 days of receiving proper treatment and intravenous fluid infusion.