RESUMEN
Ninety patients with aluminum phosphide poisoning have been studied over a period of 3 years. Epigastric pain and vomiting were the common initial clinical features, followed 12 to 24 hours later by cardiogenic shock, oliguria, altered mental state and respiratory distress. Death occurred within 24 to 72 hours presumably due to poison-induced toxic chemical myocarditis as reflected by electrocardiographic changes. The overall mortality was 63.3%. Intravenous magnesium sulphate, probably due to its membrane stabilizing action, appears to be related to the reduction in mortality from 90% to 52% in the latter 62 cases.
Asunto(s)
Adolescente , Adulto , Compuestos de Aluminio , Niño , Electrocardiografía/efectos de los fármacos , Femenino , Corazón/efectos de los fármacos , Humanos , Sulfato de Magnesio/uso terapéutico , Masculino , Persona de Mediana Edad , Miocarditis/inducido químicamente , Plaguicidas/envenenamiento , Fosfinas/envenenamientoRESUMEN
Significant dermatoglyphic findings observed in both sexes of hypertensive cases as compared to controls were: (i) Increased Total finger Ridge count. (ii) Decreased frequency of Axial triradius t (in right palm female) and Axial Triradius t' and t" in right palm (male) (iii) Decreased atd angle. (iv) Absence of Axial triradi in both the palms of an individual was found exclusively in hypertensive cases (10%) and in none of the controls.