杀鼠剂在市场上很容易获得,并且在印度农村地区通常报道通过摄入此类有毒产品进行自杀企图。我们的目的是分析预测因素,生物标记,和治疗结果的患者谁摄入杀鼠剂(黄磷)的品牌名称,Rattol.这里,我们介绍了三例入住三级医院的此类病例。我们记录了社会人口学特征,可能的预测因素,和连续绘制生物标记图。对这些病例给予常规治疗。所有病例均为农村地区的年轻女性(年龄范围:17-30岁),两人结婚,一人未婚。摄食量约为20、10和5克,分别。摄入和寻求第一次医疗保健之间的时间间隔为6小时,18小时,1小时,分别。主要症状是呕吐,腹痛,和头痛。生物标记,包括总胆红素,丙氨酸氨基转移酶,天冬氨酸转氨酶,肌酐,凝血酶原时间,国际标准化比率,和终末期肝病模型(MELD)评分有统计学意义。两名妇女患有毒性肝炎和急性肝功能衰竭,其中一名没有任何器官损害。所有患者均在平均住院后17天内康复。致死剂量的杀鼠剂和延迟到医院就诊可提示急性肝功能衰竭和严重疾病。创造意识,促进心理健康和预防自杀,制定适当的治疗指南将降低发病率和死亡率。
Rodenticides are easily available in the market and suicidal attempts by ingesting such poisonous products are commonly reported in rural India. We aimed to analyze predictive factors, biological markers, and treatment outcomes among patients who ingested
rodenticides (yellow phosphorus) with the brand name, Rattol. Here, we present three such cases who were admitted to a tertiary care hospital. We recorded socio-demographic characteristics, probable predictive factors, and serial charting biological markers. Conventional treatment was given to these cases. All cases were young women (age range: 17-30 years) from rural areas, two were married and one was unmarried. The approximate quantity of ingestion was 20, 10, and 5 grams, respectively. The time lag between the ingestion and sought first health care was 6 hours, 18 hours, and 1 hour, respectively. Major symptoms were vomiting, abdominal pain, and headache. Biological markers, including total bilirubin, alanine aminotransferase, aspartate aminotransferase, creatinine, prothrombin time, international normalized ratio, and model for end-stage liver disease (MELD) score were statistically significant. Two women had toxic hepatitis and acute liver failure and one did not have any organ damage. All of them were recovered within 17 days of mean hospital stay. A lethal dosage of
rodenticides and delayed presentation to the hospital can prompt acute liver failure and severe ailment. Creating awareness, promoting mental health and suicide prevention, and framing proper guidelines for treatment will reduce morbidity and mortality.