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甲酚具有强力的杀菌作用,在牙科作为甲酚醛制剂(FC),被用于感染性根管消毒,但多量的接触,服用,将产生严重的损害,成为自杀药。病例 23岁,女性,服甲酚皂液约100ml,约二小时后出现呕吐,痉挛,意识障碍等症状。经急救处置后入院。入院时体温32.5℃,血压75/50mmHg,呈休克状。呼气有甲酚味。因食道水肿明显无法洗胃。由于消化道出血合并尿闭死亡。整个过程约60小时。尸解所见:(1)消化道:表现为坏死性炎症(口腔、咽喉、食道、胃);(2)呼吸道:气管、支气管内有痰液,肺出血,胸内积水;(3)肝脏:肝小叶中心性坏死;(4)肾脏:肾小管上皮变性;(5)出血倾向。上述尸解显示了急性药物(甲酚)中毒,造成多
Cresol has a potent bactericidal effect. It is used as a cresol novate (FC) in dentistry to sterilize infectious root canals. However, exposure to large amounts of cresol can cause severe damage and become a suicide drug. Case 23 years old, female, omeprazole soap about 100ml, about two hours after vomiting, cramps, disturbance of consciousness and other symptoms. After emergency treatment and admission. Admission temperature 32.5 ℃, blood pressure 75 / 50mmHg, was shock-like. Exhale cresol smell. Obviously unable to gastric lavage due to esophageal edema. As a result of gastrointestinal bleeding combined with urinary tract death. The whole process is about 60 hours. (2) the respiratory tract: the trachea, bronchial sputum, pulmonary hemorrhage, pleural effusion; (3) the digestive tract: the performance of necrotizing inflammation (mouth, throat, esophagus, stomach) Liver: hepatic lobule central necrosis; (4) kidney: renal tubular epithelial degeneration; (5) bleeding tendency. The above autopsy shows acute drug (cresol) poisoning, resulting in more