[A case of delirium caused by carbamate insecticide poisoning treated with penehyclidine hydrochloride]

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Oct 20;40(10):785-786. doi: 10.3760/cma.j.cn121094-20210726-00375.
[Article in Chinese]

Abstract

The incidence of carbamate insecticide poisoning has increased gradually in recent years, and anticholinergic drugs are the specific antidotes. In 2020, the Peking University Third Hospital admitted a patient with carbamate insecticide poisoning, whose main clinical manifestations were dizziness, vomiting and blurred vision. During the treatment with penehyclidine hydrochloride, the patient developed delirium. This paper retrospectively analyzed the clinical data and treatment process of the patient to improve people's understanding of the side effects of penhyclidine hydrochloride in the treatment of insecticide poisoning.

氨基甲酸酯类杀虫剂中毒发生率近年来逐渐增高,抗胆碱能药物为其特效解毒药。2020年北京大学第三医院收治1例氨基甲酸酯类杀虫剂中毒患者,以头晕、呕吐、视物不清为主要临床表现,应用盐酸戊乙奎醚(长托宁)治疗过程中,患者出现谵妄。本文对该患者临床资料和治疗过程进行回顾性分析,以提高人们对长托宁治疗农药中毒的不良反应的认识。.

Keywords: Carbamate insecticide; Case report; Delirium; Poisoning; penhyclidine hydrochloride.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Carbamates / therapeutic use
  • Delirium*
  • Humans
  • Hydrochloric Acid
  • Insecticides*
  • Organophosphate Poisoning* / drug therapy
  • Poisoning* / therapy
  • Retrospective Studies

Substances

  • penehyclidine
  • Insecticides
  • Hydrochloric Acid
  • Carbamates