以外伤后多发出血为首发症状的鼠药中毒

Bromadione poisoning with multiple hemorrhage after trauma as the first symptom

目的 报道1例以外伤后多发出血为首发症状的鼠药中毒病例.方法 对2018年7月某三甲医院收治的1例以出血为首发症状的鼠药中毒患者临床资料进行分析总结.结果 本患者是以出血为首发症状的鼠药中毒患者,其病因为自服市售鼠药并隐瞒服毒史,经过毒检分析确诊为溴鼠灵和溴敌隆中毒,给与维生素K1等药物积极综合治疗临床治愈.结论 对于临床不明原因出血患者应该考虑到鼠药中毒的可能,并积极完善毒物检测.

Objective To report a case of rat poison with multiple hemorrhage after trauma. Methods The clinical data of a case of rodenticide poisoning with hemorrhage as the first symptom admitted to a third-class a hospital in July 2018 were analyzed and summarized. Results This patient is a rodent drug poisoning patient with hemorrhage as the first symptom. The disease was diagnosed as bromohamelin and bromadiolone poisoning through the analysis of poison detection because the rodent drug was taken in the market and the history of taking poison was concealed. The patient was given active comprehensive treatment of vitamin K1 and other drugs for clinical cure. Conclusion For patients with clinically unexplained hemorrhage, the possibility of rodenticide poisoning should be considered and the toxicant detection should be improved actively.