EFFICACY OF 4-METHYLPYRAZOLE IN ETHYLENE-GLYCOL POISONING - CLINICAL AND TOXICOKINETIC ASPECTS

被引:37
作者
HARRY, P
TURCANT, A
BOUACHOUR, G
HOUZE, P
ALQUIER, P
ALLAIN, P
机构
[1] CTR HOSP,BIOCHIM & PHARMACOL LAB,F-78150 LE CHESNAY,FRANCE
[2] CHU ANGERS,PHARMACOL & TOXICOL LAB,F-49033 ANGERS 01,FRANCE
来源
HUMAN & EXPERIMENTAL TOXICOLOGY | 1994年 / 13卷 / 01期
关键词
D O I
10.1177/096032719401300109
中图分类号
R99 [毒物学(毒理学)];
学科分类号
100405 ;
摘要
Potentially fatal ethylene glycol intoxication in an adult with normal renal function was treated with 4-methylpyrazole administered three hours after the incident occurred. The plasma ethylene glycol concentration was 3.5 g l-1 on admission. The metabolic acidosis present on admission resolved within four hours, and the subsequent clinical course was uneventful. The apparent plasma half-life of ethylene glycol was 16 h and the mean renal and plasma clearances of ethylene glycol were 24 and 25 ml min-1, respectively. These results support the hypothesis that complete blockade of hepatic metabolism of ethylene glycol is achieved by 4-methylpyrazole, The only side-effect observed as a result of treatment was a transient slight increase in serum transaminase activity.
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页码:61 / 64
页数:4
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